Moheen Suna-Sitto, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22855 Issued in CA

Practice address

72724 29 Palms Hwy
Suite 103
Twentynine Palms, CA 92277-2417

Phone

(760) 367-5906

Fax

(760) 367-5986

NPI assigned

Jul 15, 2013

Sex

Female

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: 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 and National Provider Directory roles.

• Centro de Salud de la Comunidad de San Ysidro, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1124782685
  Medicare reassignment
• Centro de Salud de la Comunidad de San Ysidro Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1457033813
  NPD
• Centro de Salud de la Comunidad de San Ysidro,Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1598308926
  NPD
• Centro de Salud de la Comunidad de San Ysidro, Inc.

  • Federally Qualified Health Center (FQHC)
  • National City, CA
  • NPI 1003869363
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1497196729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72724 29 PALMS HWY",
            "address_2": "SUITE 103",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772417",
            "telephone_number": "760-367-5906",
            "fax_number": "760-367-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72724 29 PALMS HWY",
            "address_2": "SUITE 103",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772417",
            "telephone_number": "760-367-5906",
            "fax_number": "760-367-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNA-SITTO",
        "first_name": "MOHEEN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Squires, O.D.
• David Sternbaum, DNP, CRNA
• Dylan John Steslicki
• Steven Geduld DDS Dental Corporation
• Heather Stricklin, AMFT
• Sungchun S. Wee, DDS, Inc
• Alicia Gaidry Sykes, MD, MA
• Sidney Tobin Tavss
• Gregory M Taylor, MD
• Jill Henderson Taylor, CF-SLP

• Physician Assistant in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.