Active NPI
Seungchan Suh
- Case Manager/Care Coordinator
- San Mateo, CA
National Provider Identifier
1255971826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382 - Phone
- (650) 372-4080
- NPI assigned
- Jan 13, 2020
- Last updated
- Feb 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
2600 S El Camino Real Ste 200
San Mateo, CA 94403-2382
Mailing address
746 Baird Ave
Santa Clara, CA 95054-2215
Phone (408) 318-9867
Other practice location 1
1001 Sneath Ln Ste 200
San Bruno, CA 94066-2349
Phone (984) 965-0243
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1255971826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "746 BAIRD AVE",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950542215",
"telephone_number": "408-318-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S EL CAMINO REAL STE 200",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032382",
"telephone_number": "650-372-4080"
}
],
"practiceLocations": [
{
"address_1": "1001 Sneath Ln Ste 200",
"address_purpose": "LOCATION",
"city": "San Bruno",
"state": "CA",
"postal_code": "940662349",
"country_code": "US",
"telephone_number": "984-965-0243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUH",
"first_name": "SEUNGCHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-13",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.