Active NPI
Shunmugaraja Subbiah, M.D.
- Anesthesiology Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A72997
- Practice address
- 17100 Euclid St
Fountain Valley, CA 92708-4004 - Phone
- (714) 418-6522
- Fax
- (714) 845-0746
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A72997 | CA | Primary |
Addresses
Primary practice location
17100 Euclid St
Fountain Valley, CA 92708-4004
Mailing address
24 Bamboo
Irvine, CA 92620-3336
Phone (714) 418-6522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A729970 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 742-5910
1741 W Romneya Dr
Suite F
Anaheim, CA 92801-1805
Phone (714) 408-9481
800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72997 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Anesthesia Group, Inc. | Anesthesiology | Current | Accepting new patients |
| Socal Anesthesia Solutions, Inc | Anesthesiology | Current | Accepting new patients |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Talbert Anesthesia Group Incorporated | Anesthesiology | Current | Accepting new patients |
| Coastal 7 Anesthesiology Professional Corporation | Anesthesiology | Current | Accepting new patients |
| Uscan Anesthesiology Medical Group, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
18111 Brookhurst St
Ste 3200
Fountain Vly, CA 92708
Phone (714) 369-1100
9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000
18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100
11190 Warner Ave
Ste 212
Fountain Vly, CA 92708
Phone (714) 338-1650
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915
7677 Center Ave
Ste 104
Huntington Beach, CA 92647
Phone (714) 881-8700
10 Post
Irvine, CA 92618
Phone (949) 266-0997
10904 Reagan St
Los Alamitos, CA 90720
Phone (562) 592-3140
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
681 S Parker St
Ste 150
Orange, CA 92868
Phone (562) 805-7918
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
14571 Magnolia St
Ste 107
Westminster, CA 92683
Phone (714) 533-2020
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Corona, CA
- NPI 1558865840
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1407596901
-
- Anesthesiology Physician
- Fountain Valley, CA
- NPI 1467549683
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- Anesthesiology Physician
- Fountain Valley, CA
- NPI 1639921729
-
- Anesthesiology Physician
- Los Alamitos, CA
- NPI 1144626714
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
- NPI 1740227123
Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corona Regional Medical Center
- General Acute Care Hospital
- Corona, CA
- NPI 1457347239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451088000000",
"number": "1184688715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BAMBOO",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203336",
"telephone_number": "714-418-6522",
"fax_number": "714-845-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084004",
"telephone_number": "714-418-6522",
"fax_number": "714-845-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBBIAH",
"first_name": "SHUNMUGARAJA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2015-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A72997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A729970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.