Individual provider Active NPI

Daniel Suissa, MD, MSC, FRCSC

  • Plastic and Reconstructive Surgery Physician
  • West Hollywood, CA
National Provider Identifier
1285082859
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
142346 Issued in CA
Practice address
9201 W Sunset Blvd Ste 708
West Hollywood, CA 90069-3708
Phone
(424) 285-5545
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 142346 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 708
West Hollywood, CA 90069-3708

Mailing address

324 S Beverly Dr Ste 990
Beverly Hills, CA 90212-4801
Phone (310) 409-4422

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

LicenseStateTypeSpecialty
142346CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1285082859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S BEVERLY DR STE 990",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124801",
            "telephone_number": "310-409-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 708",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693708",
            "telephone_number": "424-285-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUISSA",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD, MSC, FRCSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "142346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.