Active NPI
Daniel Suissa, MD, MSC, FRCSC
- Plastic and Reconstructive Surgery Physician
- West Hollywood, CA
National Provider Identifier
1285082859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 142346
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 142346 | CA | MD | Marriage & 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.