Individual provider Active NPI

Louis Sithu

  • Primary Care Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1306318225
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95011101 Issued in CA
Practice address
18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2671
Phone
(562) 735-3226
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Primary Care Nurse Practitioner 363LP2300X 95011101 CA Primary

Addresses

Primary practice location

18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2671

Mailing address

18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2671
Phone (562) 735-3226

Other names 1

  • Maung Sithu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031002288 CA Practitioner - Nurse Practitioner 9335471945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011101CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Marcos Medical Group Inc CurrentSince Aug 18, 2019 Accepting new patients

Locations

14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160

7576 Sterling Ave
Ste Cd
San Bernardino, CA 92410
Phone (909) 381-8983

742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 376-4438

1574 W Base Line St
Ste 107
Sn Bernrdno, CA 92411
Phone (909) 386-1880

Interoperability endpoints

  • Direct secure messaging: louis.sithu.p1@direct.metro.nextgenshare.com

Organizations & group practices 1

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1306318225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 800",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032671",
            "telephone_number": "562-735-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 800",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032671",
            "telephone_number": "562-735-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITHU",
        "first_name": "LOUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95011101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUNG",
            "last_name": "SITHU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.