Kuan Wen Su, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C 42531 Issued in CA

Practice address

841 W Valley Blvd
Ste 107
Alhambra, CA 91803-3251

Phone

(626) 282-8441

Fax

(626) 282-2759

NPI assigned

Dec 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Ahmc San Gabriel Valley Medical

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818
  NPD (past)
• Vital Signs Primary Care

  • Primary Care Clinic/Center
  • Monterey Park, CA
  • NPI 1528812146
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1487722823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 W VALLEY BLVD",
            "address_2": "STE 107",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033251",
            "telephone_number": "626-282-8441",
            "fax_number": "626-282-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 W VALLEY BLVD",
            "address_2": "STE 107",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918033251",
            "telephone_number": "626-282-8441",
            "fax_number": "626-282-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "KUAN",
        "middle_name": "WEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C 42531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strive Speech Therapy
• Alexandra Chloe Su, PHARMD
• Brian Chin-Jen Su, M.D.
• Jeffrey Su, DPT
• Kent Phu Su, AMFT
• Michael Hung Su, D.M.D.
• Rong Yeh Su
• Yuhao Su, D.C.
• Subadya Chiropractic,Inc.
• Kornelius Tjandra Subadya, DC

• Internal Medicine Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.
• 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.