Active NPI
Piyanetr Sukhu, M.D.
- Internal Medicine Physician
- Laguna Hills, CA
National Provider Identifier
1497750269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A31398
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A31398 | Other | CA | STATE LICENSE |
| GR0006080 | Medicaid | CA | |
| W7184 | Other | CA | GROUP 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sukhu Medical Group Inc | Current | 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.
-
- Specialist
- Laguna Hills, CA
- NPI 1962525857
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.