Active NPI
Adam Quasar Sugihara, M.D.
- Surgery Physician
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A142557
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142557 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Healing Care Specialists, Inc. | Surgery | Current | 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.
-
- Surgery Physician
- Upland, CA
- NPI 1063938553
-
dba Wound Healing Care Specialists California
- Surgery Physician
- Ontario, CA
- NPI 1306317961
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
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
- Valerie Suarez
- Sudhir K Reddy MD Inc
- Michael Sudyka, LMFT
- Gregory Kenneth Suelzle, MD
- Sugihara Surgical Services Inc
- Sullivan Medical Corporation
- Summer Breeze Healthcare
- Melinda Ann Summers Sandoval, MSW, ACSW, PPSC
- Summit Psychological Services, a Professional Psych
- Sun Coast West Medical Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.