Organization Active NPI

Steven H Suchman MD Inc

  • Family Medicine Physician
  • Thousand Oaks, CA
National Provider Identifier
1215289848
Registry record updated Feb 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A64923 Issued in CA
Legal business name
STEVEN H SUCHMAN MD INC
Practice address
77 Rolling Oaks Dr
Suite 305
Thousand Oaks, CA 91361-1011
Phone
(805) 379-9976
Fax
(805) 379-9975
NPI assigned
Oct 5, 2012
Last updated
Feb 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2013

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

Authorized official

Name
Steven H Suchman, MDNPI 1639122351
Title
President
Phone
(805) 379-9976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A64923 CA Primary

Addresses

Primary practice location

77 Rolling Oaks Dr
Suite 305
Thousand Oaks, CA 91361-1011

Mailing address

77 Rolling Oaks Dr
Suite 305
Thousand Oaks, CA 91361-1011
Phone (805) 379-9976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121116000120 CA Part B Supplier - Clinic/Group Practice 8820249006 Receives reassigned benefits from 2 practitioners
Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

Locations

77 Rolling Oaks Dr
Ste 305
Thousand Oaks, CA 91361
Phone (805) 379-9976

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22913/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360368000000",
    "number": "1215289848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR",
            "address_2": "SUITE 305",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611011",
            "telephone_number": "805-379-9976",
            "fax_number": "805-379-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ROLLING OAKS DR",
            "address_2": "SUITE 305",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611011",
            "telephone_number": "805-379-9976",
            "fax_number": "805-379-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN H SUCHMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2013-02-09",
        "status": "A",
        "authorized_official_last_name": "SUCHMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-379-9976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.