Active NPI
Eliza Sukhee Ahn, M.D.
- Internal Medicine Physician
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G77767
- Practice address
- 15243 Vanowen St Ste 311
Van Nuys, CA 91405-3653 - Phone
- (747) 800-7454
- Fax
- (747) 264-0433
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G77767 | CA | Primary |
Addresses
Primary practice location
15243 Vanowen St Ste 311
Van Nuys, CA 91405-3653
Mailing address
15243 Vanowen St Ste 311
Van Nuys, CA 91405-3653
Phone (747) 800-7454
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
- Internal Medicine
- Education
- University of Vermont College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12511 Oxnard St
Unit a
North Hollywood, CA 91606-4458
Phone (818) 745-8845
15243 Vanowen St
Suite 311
Van Nuys, CA 91405-3653
Phone (747) 800-7454
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77767 | CA | MD | Pharmacist |
| G77767 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eliza Sukhee Ahn MD Inc | Internal Medicine | Current | Accepting new patients |
| Noho West Medical Group, Inc. | Current | Accepting new patients | |
| Valley Presbyterian Hospital | Past | Accepting new patients |
Locations
12511 Oxnard St
Unit A
North Hollywood, CA 91606
Phone (714) 654-7796
15243 Vanowen St
Ste 311
Van Nuys, CA 91405
Phone (747) 800-7454
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| East Valley Hospice, Inc. | Hospice | Contracted Managing Employee | Apr 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1518500792
Contracted Managing Employee
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Van Nuys, CA
- NPI 1316518681
-
- Primary Care Clinic/Center
- North Hollywood, CA
- NPI 1093512360
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Glendale, CA
- NPI 1427636224
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1518500792
-
- Home Health Agency
- North Hollywood, CA
- NPI 1508478322
-
- Home Health Agency
- Van Nuys, CA
- NPI 1942801840
-
- Home Health Agency
- North Hollywood, CA
- NPI 1740913896
-
- Home Health Agency
- Glendale, CA
- NPI 1356826655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1356450498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15243 VANOWEN ST STE 311",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053653",
"telephone_number": "747-800-7454",
"fax_number": "747-264-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15243 VANOWEN ST STE 311",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053653",
"telephone_number": "747-800-7454",
"fax_number": "747-264-0433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "ELIZA",
"middle_name": "SUKHEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2021-07-07",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G77767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.