Barry Sussman, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G-037064 Issued in CA

Practice address

1315 Bonnie Doone Ter
Corona del Mar, CA 92625-1716

Phone

(973) 632-1652

Fax

(973) 632-1652

NPI assigned

Mar 3, 2008

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

State University of New York Downstate Medical Center, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lonika Home Aphena

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mission Viejo, CA
  • NPI 1609207547
  NPD (past)
• Lonika Home, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mission Viejo, CA
  • NPI 1457428427
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1508036880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 BONNIE DOONE TER",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251716",
            "telephone_number": "949-759-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 BONNIE DOONE TER",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251716",
            "telephone_number": "973-632-1652",
            "fax_number": "973-632-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSMAN",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G-037064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Howard Solow, PH.D.
• South Coast Fitter, LLC
• South Coast Outpatient Surg Ctr Balboa Surgery Center
• Andrew W Spath, DDS
• Devan Stetson
• Stephen Sutherland, M.D.
• Rokhsareh Roxanne Tajrishi, M.D.
• Wing CHI Tang, DPT
• Derek Alan Taylor, MPT
• Kevin Taylor, DDS

• Ophthalmology Physician in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.