Monica Waidmann, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A134489 Issued in CA

Practice address

1000 Newbury Rd 115
Newbury Park, CA 91320-6436

Phone

(805) 375-1611

Fax

(805) 375-1655

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Monica Su Professional name

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

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
• Assisted Home Care Home health agency, Mission Hills, CA, CCN 557089

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr. Curtis Kodama & Associates, Inc.

  • Family Medicine Physician
  • Moorpark, CA
  • NPI 1659678811
  Medicare reassignment NPD
• Monica Su MD Inc

  • General Practice Physician
  • Newbury Park, CA
  • NPI 1881074300
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Assisted Home Recovery, Inc.

  dba Assisted Home Care

  • Home Health Agency
  • Mission Hills, CA
  • NPI 1033156765
  Care Compare affiliation
• Assisted Home Recovery, Inc.

  dba Assisted Home Care

  • Home Health Agency
  • Thousand Oaks, CA
  • NPI 1831141845
  Care Compare affiliation
• Vital Plus Home Health Care

  dba Access TLC Home Health Care

  • Case Manager/Care Coordinator
  • San Fernando, CA
  • NPI 1619045176

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1396090379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD 115",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206436",
            "telephone_number": "805-955-9990",
            "fax_number": "805-955-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD 115",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206436",
            "telephone_number": "805-375-1611",
            "fax_number": "805-375-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIDMANN",
        "first_name": "MONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A134489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "SU",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ventura Spine Institute, a Medical Corporation
• Venturacounty Behavioral Health Alcohol and Drug Programs
• Michael R P Vivian, MD
• Wade J Dahlberg Sr (West Coast Pharmaceutical Services)
• Julie Wagman
• Grace Wang
• Shoubin Wang
• Justin Waschak
• Scott Michael Wasserman, MD
• Linda Watanabe

• Specialist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.