Megan Suyematsu Ucich, NP

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

95017346 Issued in CA

Practice address

4765 Carmel Mountain Rd Ste 207B
San Diego, CA 92130-6657

Phone

(858) 876-1300

NPI assigned

Jun 8, 2021

Last updated

Jun 8, 2021By the provider in NPPES

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

• Megan Elizabeth Suyematsu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1396312385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 CARMEL MOUNTAIN RD STE 207B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 CARMEL MOUNTAIN RD STE 207B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306657",
            "telephone_number": "858-876-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCICH",
        "first_name": "MEGAN",
        "middle_name": "SUYEMATSU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "95017346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "SUYEMATSU",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• UC San Diego, Pathology Dept
• UC Telehealth Collaborative
• Tripti Uchhana, AOD
• Taeko Uchino-Dicarlo, PSY.D.
• Alexandra Ucich, CMT
• Lindsey Ucki, RD
• Shannon Uclaray
• Ucsd
• Ucsd Ambulatory Surgery Center, LLC (University Ambulatory Surgery Center)
• Ucsd Department of Orthopaedic Surgery

• Procedural Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.