Individual provider Active NPI

Suchi Jatin Amin

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1225619547
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
125.079391 Issued in CA
Practice address
4123 S Cloverdale Ave
Los Angeles, CA 90008-1034
Phone
(951) 290-9904
NPI assigned
Apr 19, 2021
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125.079391 CA Primary
Pediatrics Physician 208000000X 125.079391 IL

Addresses

Primary practice location

4123 S Cloverdale Ave
Los Angeles, CA 90008-1034

Mailing address

4123 S Cloverdale Ave
Los Angeles, CA 90008-1034
Phone (951) 290-9904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712000157 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4587044292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125.079391CAMDPediatrics Physician
125.079391ILMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1225619547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 S CLOVERDALE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081034",
            "telephone_number": "951-290-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 S CLOVERDALE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081034",
            "telephone_number": "951-290-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "SUCHI",
        "middle_name": "JATIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "125.079391",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.079391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.