Angeli D Suarez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C148727 Issued in CA

Practice address

11100 Warner Ave Ste 368
Fountain Valley, CA 92708-7514

Phone

(714) 241-1777

NPI assigned

Apr 26, 2006

Last updated

Jan 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pediatric Health Group PSC

  • Clinic/Center
  • Madisonville, KY
  • NPI 1891828604

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1275590028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11122 RANGER DR",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202649",
            "telephone_number": "270-836-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 368",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087514",
            "telephone_number": "714-241-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11122 Ranger Dr",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907202649",
            "country_code": "US",
            "telephone_number": "270-836-1737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "ANGELI",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "29114",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C148727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000108207",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64291149",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenessa Joy Stone
• Naemi Ida Strobel, MA, CCC-SLP
• Brian Christopher Stuckman, RN
• Paul Zachary Stumpe, PHARMD
• Derrick Weison Su, MD
• Shunmugaraja Subbiah, M.D.
• Isaac Sun, DDS
• Ettayapurum V Sunderrajan, M.D.
• Sobha Sunderrajan, M.D.
• Sarah Sung, PHARMD

• Pediatrics Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.