Individual provider Active NPI

Monica Averia Suboc, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1508008129
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12776 Issued in CA
Practice address
1441 Eastlake Ave
Nor8302E
Los Angeles, CA 90089-0112
Phone
(323) 865-3948
Fax
(323) 865-0061
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12776 CA Primary
Adult Health Nurse Practitioner 363LA2200X 12776 CA

Addresses

Primary practice location

1441 Eastlake Ave
Nor8302E
Los Angeles, CA 90089-0112

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 865-3948

Other names 1

  • Monica Averia-Suboc Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address monica.averia@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000202 CA Practitioner - Nurse Practitioner 1052462629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Un of California, Irvine, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12776CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Aug 1, 2009 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 1, 2009 Accepting new patients
Stanley Arbiter MD Leonard Beller MD & Michael Silao MD Past Accepting new patients

Locations

8900 Wilshire Blvd
Fl Second
Beverly Hills, CA 90211
Phone (310) 432-8900

3825 Durfee Ave
El Monte, CA 91732
Phone (626) 444-2535

1441 Eastlake Ave
Los Angeles, CA 90089
Phone (323) 865-3000

1450 San Pablo St
Ste 4000
Los Angeles, CA 90033
Phone (323) 442-6335

573 S Boyle Ave
Los Angeles, CA 90033
Phone (323) 263-6195

2310 Alcazar St
Los Angeles, CA 90033
Phone (323) 441-9966

1520 San Pablo St
Fl 1
Los Angeles, CA 90033
Phone (213) 743-9000

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1500 San Pablo St
Ste 1000
Los Angeles, CA 90033

1441 Eastlake Ave
#8302E
Los Angeles, CA 90089
Phone (323) 865-3000

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1508008129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-865-3948",
            "fax_number": "323-865-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 EASTLAKE AVE",
            "address_2": "NOR8302E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890112",
            "telephone_number": "323-865-3948",
            "fax_number": "323-865-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBOC",
        "first_name": "MONICA",
        "middle_name": "AVERIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "12776",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "12776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monica.averia@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1441 Eastlake Ave",
            "address_2": "NOR8302E",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900890112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "AVERIA-SUBOC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.