Individual provider Active NPI

Yuka Suzuki

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1215606934
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY35128 Issued in CA
Practice address
3303 N Broadway FL 3
Los Angeles, CA 90031-2803
Phone
(323) 478-8200
NPI assigned
Sep 7, 2021
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY35128 CA Primary

Addresses

Primary practice location

3303 N Broadway FL 3
Los Angeles, CA 90031-2803

Mailing address

3303 N Broadway FL 3
Los Angeles, CA 90031-2803

Other practice location 1

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone (949) 743-1457

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122004110 CA Practitioner - Clinical Psychologist 8820575624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

940 S Coast Dr
Suite 225
Costa Mesa, CA 92626-7757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY35128CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Evans PHD Psychology PC Clinical CurrentSince Dec 15, 2025 Accepting new patients

Locations

940 S Coast Dr
Ste 225
Costa Mesa, CA 92626
Phone (949) 742-1457

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1215606934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 N BROADWAY FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 N BROADWAY FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312803",
            "telephone_number": "323-478-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 S Coast Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926267757",
            "country_code": "US",
            "telephone_number": "949-743-1457",
            "fax_number": "949-274-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "YUKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.