Individual provider Active NPI

Adam Quasar Sugihara, M.D.

  • Surgery Physician
  • Upland, CA
National Provider Identifier
1316172836
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A142557 Issued in CA
Practice address
811 E 11TH St Ste 207
Upland, CA 91786-4872
Phone
(909) 870-3033
Fax
(909) 870-3034
NPI assigned
May 28, 2009
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A142557 CA Primary

Addresses

Primary practice location

811 E 11TH St Ste 207
Upland, CA 91786-4872

Mailing address

299 W Foothill Blvd Ste 212
Upland, CA 91786-3806
Phone (909) 870-3033

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815002275 CA Practitioner - General Surgery 8325332232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Chicago, Pritzker School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

811 E 11TH St
Suite 207
Upland, CA 91786-4872
Phone (909) 870-3033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A142557CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Healing Care Specialists, Inc. Surgery CurrentSince Mar 11, 2021 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1316172836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD STE 212",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863806",
            "telephone_number": "909-870-3033",
            "fax_number": "909-949-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST STE 207",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864872",
            "telephone_number": "909-870-3033",
            "fax_number": "909-870-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIHARA",
        "first_name": "ADAM",
        "middle_name": "QUASAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A142557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.