Suneena Pokkamthanam, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3409 Calloway Dr Unit 601
Bakersfield, CA 93312-2534

Phone

(661) 589-1200

Fax

(661) 589-7200

NPI assigned

Apr 1, 2014

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harinder S. Gogia, M.D., Inc.

  dba Cardiology Consultants of OC Medical Group Inc.

  • Specialist
  • Santa Ana, CA
  • NPI 1356451264
  Medicare reassignment
• Kern Psychiatric Health and Wellness Center Inc

  • Psychiatry Physician
  • Bakersfield, CA
  • NPI 1962917021
  Medicare reassignment
• Advanced Medical Psychiatric Services

  • Specialist
  • Bakersfield, CA
  • NPI 1871804484
  NPD

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1396163945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR UNIT 601",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122534",
            "telephone_number": "661-589-1200",
            "fax_number": "661-589-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR UNIT 601",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122534",
            "telephone_number": "661-589-1200",
            "fax_number": "661-589-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKKAMTHANAM",
        "first_name": "SUNEENA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "910-21527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Poarch
• Tian Sian Poh, DDS
• Riley Lynn Pohl
• Pointe at Bakersfield LLC (The Pointe At Summit Hills)
• Pokey Bones LLC (Faast Pharmacy)
• Lynnette Naomi Pola
• Benjamin Matthew Polanco
• Christian Jesus Polanco
• Anthony Alan Poles, MD
• Jezel Poliran, NONE

• Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.