Individual provider Active NPI

Shuichi Suzuki, M.D.

  • Vascular Neurology Physician
  • Arcadia, CA
National Provider Identifier
1376569517
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
A72443 Issued in CA
Practice address
1015 North 1St Ave. Suite a
Arcadia, CA 91006
Phone
(626) 566-2866
Fax
(626) 566-2850
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A72443 CA
Vascular Neurology Physician 2084V0102X A72443 CA Primary
Neuroradiology Physician 2085N0700X FTL 41971 TX
Vascular & Interventional Radiology Physician 2085R0204X FTL 41971 TX

Addresses

Primary practice location

1015 North 1St Ave. Suite a
Arcadia, CA 91006

Mailing address

8 Vernal SPG
Irvine, CA 92603-0405
Phone (714) 943-3788

Other identifiers 4

IdentifierTypeStateIssuer
192474803OtherTXCSHCN
8AL151OtherTXBCBS
192474802MedicaidTX
00AA72443MedicaidCA

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
I20051229000817 CA Practitioner - NeurologyPractitioner - Interventional RadiologyPractitioner - NeurosurgeryPractitioner - Other (Physician) 2860414133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 4082510250, 27 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72443CAMDPharmacist
FTL 41971TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Apr 1, 2020 Accepting new patients
Regents of the University of California CurrentSince Mar 25, 2013 Accepting new patients
UC Regents CurrentSince Feb 1, 2010 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Apr 1, 2020 Accepting new patients
UC Regents CurrentSince Feb 1, 2010 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Shuichi Suzuki, M.D., Inc. PastSince Mar 8, 2007 Accepting new patients
Ut Imaging - Houston LLP Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
George Rappard MD Inc Vascular & Interventional Radiology Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients
UCLA Radiology Medical Group Neuroradiology Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

1640 Newport Blvd
Ste 240
Costa Mesa, CA 92627
Phone (949) 999-2411

19210 Jamboree Rd
Ste 4200
Irvine, CA 92612

19200 Jamboree Rd
Ste 4200
Irvine, CA 92612

24411 Health Center Dr
Ste 330
Laguna Hills, CA 92653
Phone (833) 364-2633

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 1
Orange, CA 92868
Phone (714) 456-2911

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1376569517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 VERNAL SPG",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030405",
            "telephone_number": "714-943-3788",
            "fax_number": "949-737-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NORTH 1ST AVE. SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91006",
            "telephone_number": "626-566-2866",
            "fax_number": "626-566-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "SHUICHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A72443",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A72443",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "FTL 41971",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "FTL 41971",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "192474803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AL151",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192474802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AA72443",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.