Active NPI
Michael M Su, PHARM.D.
- Pharmacist
- Anaheim, CA
National Provider Identifier
1457440570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43652
- Practice address
- 441 North Lakeview Ave.
Kaiser Permanante Medical Center in-PT Pharmacy
Anaheim, CA 92870 - Phone
- (714) 279-4381
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43652 | CA | Primary |
Addresses
Primary practice location
441 North Lakeview Ave.
Kaiser Permanante Medical Center in-PT Pharmacy
Anaheim, CA 92870
Mailing address
16 Cape Cod
Irvine, CA 92620
Phone (714) 279-4381
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43652 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457440570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 CAPE COD",
"city": "IRVINE",
"state": "CA",
"postal_code": "92620",
"telephone_number": "714-279-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 NORTH LAKEVIEW AVE.",
"address_2": "KAISER PERMANANTE MEDICAL CENTER IN-PT PHARMACY",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92870",
"telephone_number": "714-279-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "MICHAEL",
"middle_name": "M",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.