Active NPI
Chenghui Su, D. O
- Psychiatry Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A17008
- Practice address
- 4510 E Pacific Coast Hwy Ste 600
Long Beach, CA 90804-6914 - Phone
- (562) 346-1100
- NPI assigned
- Jul 16, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 20A17008 | CA | |
| Psychiatry Physician | 2084P0800X | 20A17008 | CA | Primary |
Addresses
Primary practice location
4510 E Pacific Coast Hwy Ste 600
Long Beach, CA 90804-6914
Mailing address
11301 Wilshire Blvd
Bld500, Rm6428
Los Angeles, CA 90073
Phone (310) 748-3711
Other names 1
- Chenghui Su
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17008 | CA | MD | Addiction Psychiatry Physician |
| 17008 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance for Wellness, Inc. | Psychiatry | Current | Accepting new patients |
| Tarzana Treatment Centers, Inc. | Current | Accepting new patients | |
| Tarzana Treatment Centers, Inc | Current | Accepting new patients | |
| Tarzana Treatment Centers, Inc. | Current | Accepting new patients | |
| Tamika Henry MD Inc | Past | Accepting new patients |
Locations
16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201
2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387
18646 Oxnard St
Tarzana, CA 91356
Phone (818) 654-3815
14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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-
- Community/Behavioral Health Agency
- Woodland Hills, CA
- NPI 1396223103
-
- Multi-Specialty Clinic/Center
- Palmdale, CA
- NPI 1619702099
-
- Family Medicine Physician
- Glendale, CA
- NPI 1770381436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1336556851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"address_2": "BLD500, RM6428",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90073",
"telephone_number": "310-748-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 E PACIFIC COAST HWY STE 600",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908046914",
"telephone_number": "562-346-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "CHENGHUI",
"credential": "D. O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "20A17008",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A17008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHENGHUI",
"last_name": "SU",
"credential": "D.O",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.