Organization Active NPI

Stephen Su, D.P.M.

  • Podiatric Clinic/Center
  • Orange, CA
National Provider Identifier
1376939496
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E2174 Issued in CA
Legal business name
STEPHEN SU, D.P.M.
Practice address
715 E Chapman Ave
Orange, CA 92866-1620
Phone
(714) 532-6357
Fax
(714) 532-4144
NPI assigned
Apr 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Lisa Alvarado
Title
Manager
Phone
(951) 278-5590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E2174 CA Primary

Addresses

Primary practice location

715 E Chapman Ave
Orange, CA 92866-1620

Mailing address

715 E Chapman Ave
Orange, CA 92866-1620
Phone (714) 532-6357

Other identifiers 1

IdentifierTypeStateIssuer
E2174OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

715 E Chapman Ave
Orange, CA 92866
Phone (714) 532-6357

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1376939496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661620",
            "telephone_number": "714-532-6357",
            "fax_number": "714-532-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661620",
            "telephone_number": "714-532-6357",
            "fax_number": "714-532-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN SU, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-278-5590"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E2174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "E2174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.