Catherine Kailin Su, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A65920 Issued in CA

Practice address

200 Jose Figueres Ave
Suite 199
San Jose, CA 95116-1500

Phone

(408) 977-4673

Fax

(408) 729-9943

NPI assigned

Oct 3, 2006

Last updated

Oct 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: csu231155@santaclaravalley.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cancer Care Consultants Medical Associates

  • Radiation Oncology Physician
  • Santa Monica, CA
  • NPI 1437271798
  NPD (past)
• Freeman Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1912000936
  NPD (past)
• Morteza Dowlatshahi M D Inc

  dba Cancer Care Institute

  • Specialist
  • San Jose, CA
  • NPI 1972644797
  NPD (past)
• Washington Family Health Medical Group, Inc.

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1508088279
  NPD (past)
• Washington Township Hospital Development Corporation

  dba Washington Urgent Care

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1427089754
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1184719668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 199",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-977-4673",
            "fax_number": "408-729-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 199",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-977-4673",
            "fax_number": "408-729-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "CATHERINE",
        "middle_name": "KAILIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A65920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A659200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jadon Lee Styadi
• Noreen Ann Styliadis, PAC
• Deborah Styner, LMFT
• Alex Su
• Beihan Su, CRNA
• Grace Lynn Su, MD
• Junxia Su
• Mengqi Su
• Sherry Su
• Tianjiao Su

• Radiation Oncology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.