Individual provider Active NPI

Ezequiel Suarez, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1487740338
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A044663 Issued in CA
Practice address
1400 S Grand Ave
Ste 611
Los Angeles, CA 90015
Phone
(213) 745-6106
Fax
(213) 745-6107
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A044663 CA Primary
Occupational Medicine Physician 2083X0100X A044663 CA

Addresses

Primary practice location

1400 S Grand Ave
Ste 611
Los Angeles, CA 90015

Mailing address

660 Glen Ave
Glendale, CA 91206
Phone (213) 745-6106

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151104002351 CA Practitioner - Internal MedicinePractitioner - Preventive Medicine 4183934060 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asuta Medical Group IncGroup PAC ID 1951814524, 4 clinicians
Prime Valley Medical Center IncGroup PAC ID 3971016494, 5 clinicians
United Integrated Medical CorporationGroup PAC ID 3173836525, 3 clinicians

Practice addresses (Care Compare)

14545 Friar St
Van Nuys, CA 91411-4719
Phone (323) 636-3869

17541 Chatsworth St
Granada Hills, CA 91344-5720
Phone (909) 217-8633

84 S Palm Ave
Alhambra, CA 91801-3101
Phone (626) 280-9968

Hospital & facility affiliations

  • Jax Home Health, Inc Home health agency, Glendale, CA, CCN 757189
  • Infinity Healthcare Solutions, Inc Home health agency, Van Nuys, CA, CCN 053196
  • Healthy People Home Care, Inc. Home health agency, Granada Hills, CA, CCN 559776
  • Best Home Care of SCV Inc Home health agency, Santa Clarita, CA, CCN 757156
  • Five Star Quality Healthcare, Inc Home health agency, Glendale, CA, CCN 059346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A044663CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Asuta Medical Group Inc CurrentSince Oct 15, 2025 Accepting new patients
Mend Health Inc CurrentSince Dec 22, 2018 Accepting new patients
United Integrated Medical Corporation CurrentSince Jul 1, 2024 Accepting new patients
SC Medical, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Prime Valley Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Avida Health Systems Solutions Inc Internal Medicine CurrentSince Nov 4, 2024 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Jul 17, 2019 Accepting new patients
SC Medical, Inc. CurrentSince Mar 4, 2019 Accepting new patients
Anaheim Urgent Care, Inc. CurrentSince Jul 17, 2019 Accepting new patients
U.S. Healthworks Medical Group, PC Past Accepting new patients
Blessing Home Care, Inc. Past Accepting new patients
Occupational Health Centers of California, a Medical Corporation PastSince Nov 15, 2020 Accepting new patients

Locations

84 S Palm Ave
Alhambra, CA 91801
Phone (213) 334-4111

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

6010 Hidden Valley Rd
Ste 150
Carlsbad, CA 92011
Phone (760) 544-8233

401 N Brand Blvd
Ste 525B
Glendale, CA 91203
Phone (424) 400-9631

424 W Broadway
Glendale, CA 91204
Phone (818) 796-5396

17541 Chatsworth St
Granada Hills, CA 91344
Phone (909) 217-8633

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

269 S San Pedro St
Los Angeles, CA 90012
Phone (213) 947-3600

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

35 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 529-5370

19042 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 251-6300

524 Colorado Ave
Santa Monica, CA 90401
Phone (310) 260-2917

13636 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 763-9997

4312 Woodman Ave
Ste 102
Sherman Oaks, CA 91423
Phone (818) 205-9366

14545 Friar St
Ste 236
Van Nuys, CA 91411
Phone (323) 636-3869

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1487740338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLEN AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "213-745-6106",
            "fax_number": "213-745-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "STE 611",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "213-745-6106",
            "fax_number": "213-745-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "EZEQUIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A044663",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A044663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.