Active NPI
M. Linda Sutherland, M.D.
- Diagnostic Radiology Physician
- Orange, CA
National Provider Identifier
1215929476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G54787
- Practice address
- 431 S Batavia St
Ste. 103
Orange, CA 92868-3936 - Phone
- (714) 538-6731
- Fax
- (714) 771-8369
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G54787 | CA | Primary |
Addresses
Primary practice location
431 S Batavia St
Ste. 103
Orange, CA 92868-3936
Mailing address
PO Box 14005
Orange, CA 92863-1405
Phone (714) 571-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G547870 | Medicaid | CA |
Other names 1
- M. Linda Fischbach Kotouc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54787 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Health Medical Center | Past | Accepting new patients | |
| Moran Rowen and Dorsey Inc | Diagnostic Radiology | Past | Accepting new patients |
| Viprs, L.P. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- West Covina, CA
- NPI 1174301022
-
- Diagnostic Radiology Physician
- Orange, CA
- NPI 1649263906
-
- Diagnostic Radiology Physician
- West Covina, CA
- NPI 1275781296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1215929476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14005",
"city": "ORANGE",
"state": "CA",
"postal_code": "928631405",
"telephone_number": "714-571-5000",
"fax_number": "714-571-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 S BATAVIA ST",
"address_2": "STE. 103",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683936",
"telephone_number": "714-538-6731",
"fax_number": "714-771-8369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "M.",
"middle_name": "LINDA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G54787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G547870",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M. LINDA",
"last_name": "KOTOUC",
"middle_name": "FISCHBACH",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.