Individual provider Active NPI

Piyanetr Sukhu, M.D.

  • Internal Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1497750269
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A31398 Issued in CA
Practice address
24953 Paseo de Valencia
Ste 14B
Laguna Hills, CA 92653-4339
Phone
(949) 951-7808
Fax
(949) 951-4831
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A31398 CA
Internal Medicine Physician 207R00000X A31398 CA Primary

Addresses

Primary practice location

24953 Paseo de Valencia
Ste 14B
Laguna Hills, CA 92653-4339

Mailing address

24953 Paseo de Valencia
Ste 14B
Laguna Hills, CA 92653-4339
Phone (949) 951-7808

Other identifiers 3

IdentifierTypeStateIssuer
A31398OtherCASTATE LICENSE
GR0006080MedicaidCA
W7184OtherCAGROUP PIN

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sukhu Medical Group Inc CurrentSince Jan 1, 1973 Accepting new patients

Locations

24953 Paseo de Valencia
Ste 14B
Laguna Hills, CA 92653
Phone (949) 206-0360

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1497750269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "STE 14B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534339",
            "telephone_number": "949-951-7808",
            "fax_number": "949-951-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "STE 14B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534339",
            "telephone_number": "949-951-7808",
            "fax_number": "949-951-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHU",
        "first_name": "PIYANETR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A31398",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A31398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A31398",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0006080",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "W7184",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.