Teresa Su

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C41092 Issued in CA

Practice address

2200 County Center Dr Ste C
Santa Rosa, CA 95403-3000

Phone

(707) 578-7787

NPI assigned

Oct 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1346883998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S MAIN ST # 537",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724208",
            "telephone_number": "707-578-7787",
            "fax_number": "707-678-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COUNTY CENTER DR STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033000",
            "telephone_number": "707-578-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C41092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Strunin, MD
• Christopher Keith Strunk, PT,OCS
• Hilary Stuart
• Matthew James Stuart
• Peter J. Stuart, M.D.
• Victoria Veronica Su
• Luis Enique Suarez, MFT
• Suboxone Treatment and Counseling Services LLC
• Ksheeraja Subramanian
• Rachel Subramanian, MD

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.