Active NPI
Edward Su
- Pharmacist
- Santa Ana, CA
National Provider Identifier
1306221742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42735
- Practice address
- 1155 W Central Ave Ste 112
Santa Ana, CA 92707-3100 - Phone
- (714) 241-1888
- Fax
- (714) 241-1881
- NPI assigned
- Jul 28, 2015
- Last updated
- Jul 28, 2015
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42735 | CA | Primary |
Addresses
Primary practice location
1155 W Central Ave Ste 112
Santa Ana, CA 92707-3100
Mailing address
1155 W Central Ave Ste 112
Santa Ana, CA 92707-3100
Phone (714) 241-1888
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eddan Inc. | Pharmacist | Current | Accepting new patients |
| Yss Healthcare Inc | Past | Accepting new patients |
Locations
1155 W Central Ave
Ste 112
Santa Ana, CA 92707
Phone (714) 241-1888
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1306221742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 W CENTRAL AVE STE 112",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927073100",
"telephone_number": "714-241-1888",
"fax_number": "714-241-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 W CENTRAL AVE STE 112",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927073100",
"telephone_number": "714-241-1888",
"fax_number": "714-241-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.