Active NPI
William G Sujan, BS, MS, MBA
- Home Health Agency
- Los Angeles, CA
National Provider Identifier
1386141232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 3119 S Durango Ave Apt 6
Los Angeles, CA 90034-4315 - Phone
- (310) 815-8143
- NPI assigned
- Apr 8, 2018
- Last updated
- Apr 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Private Vehicle | 347C00000X | NU | ||
| Counselor | 101Y00000X | NU | ||
| Social Worker | 104100000X | NU | ||
| Chore Provider | 372500000X | NU | ||
| Adult Companion | 372600000X | NU | ||
| Contractor | 171W00000X | NU | ||
| Driver | 172A00000X | NU | ||
| Massage Therapist | 225700000X | NU | ||
| Poetry Therapist | 102X00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Meals Provider | 174200000X | NU |
Addresses
Primary practice location
3119 S Durango Ave Apt 6
Los Angeles, CA 90034-4315
Mailing address
3119 S Durango Ave Apt 6
Los Angeles, CA 90034-4315
Phone (310) 815-8143
Other names 1
- Mr. Pradeep G Sujan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Master of Business Administration, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523145600000",
"number": "1386141232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 S DURANGO AVE APT 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900344315",
"telephone_number": "310-815-8143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 S DURANGO AVE APT 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900344315",
"telephone_number": "310-815-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUJAN",
"first_name": "WILLIAM",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "BS, MS, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-08",
"last_updated": "2018-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "",
"desc": "Poetry Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PRADEEP",
"last_name": "SUJAN",
"middle_name": "G",
"prefix": "MR.",
"credential": "BS, MS, MBA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.