Individual provider Active NPI

Suresh Rao, M.D

  • Pulmonary Disease Physician
  • Sun Valley, CA
National Provider Identifier
1356377162
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A39156 Issued in CA
Practice address
9375 San Fernando Rd
Sun Valley, CA 91352-1418
Phone
(818) 768-3000
Fax
(818) 504-4690
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A39156 CA Primary

Addresses

Primary practice location

9375 San Fernando Rd
Sun Valley, CA 91352-1418

Mailing address

9375 San Fernando Rd
Sun Valley, CA 91352-1418
Phone (818) 768-3000

Other identifiers 1

IdentifierTypeStateIssuer
00A391560MedicaidCA

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
I20041109000602 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7517920739 Practice locations: Northridge, CA; Panorama City, CA; Sun Valley, CA; Sylmar, CA; Van Nuys, CA; Mission Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20255 Via Medici
Northridge, CA 91326-4059
Phone (818) 645-0506

Hospital & facility affiliations

  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
  • Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378
  • Pacifica Hospital of the Valley DP SNF Nursing home, Sun Valley, CA, CCN 555217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39156CAMDPulmonary Disease Physician
39156CAMDPhysical Therapist

Hospital & facility affiliations 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1356377162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521418",
            "telephone_number": "818-768-3000",
            "fax_number": "818-504-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521418",
            "telephone_number": "818-768-3000",
            "fax_number": "818-504-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A39156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A391560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.