Individual provider Active NPI

David Susumu Narita, MD

  • Family Medicine Physician
  • Cerritos, CA
National Provider Identifier
1548537723
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A055186 Issued in CA
Practice address
12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone
(916) 206-9640
NPI assigned
Nov 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X 55186 CA
Family Medicine Physician 207Q00000X MD61082986 WA
Family Medicine Physician 207Q00000X 12894174-1205 UT
Family Medicine Physician 207Q00000X MD201160 OR
Family Medicine Physician 207Q00000X CDR.0001830 CO
Family Medicine Physician 207Q00000X 113327 MT
Family Medicine Physician 207Q00000X T8427 TX
Family Medicine Physician 207Q00000X A055186 CA Primary
Family Medicine Physician 207Q00000X 22403 NV
Family Medicine Physician 207Q00000X MC-1495 ID
Family Medicine Physician 207Q00000X 67325 AZ

Addresses

Primary practice location

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329

Other practice location 1

Angkor Hospital for Children
Siem Reap, Siem Reap 00000
KH
Phone 85563963409

Other practice location 2

180 Promenade Cir Ste 300
Sacramento, CA 95834-2952
Phone (510) 493-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, WA, TX, NV, MT, ID, AZ, OH9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20180315001919 CA Practitioner - Family Practice 0446512115 Reassigns benefits to 2 organizations
I20200911001651 OR Practitioner - Family Practice 0446512115 Reassigns benefits to 1 organization
I20201007001410 WA Practitioner - Family Practice 0446512115 Reassigns benefits to 1 organization
I20220722000945 TX Practitioner - Family Practice 0446512115 Reassigns benefits to 1 organization
I20240307000034 NV Practitioner - Family Practice 0446512115 Reassigns benefits to 1 organization
I20240307001811 MT Practitioner - Family Practice 0446512115 Reassigns benefits to 1 organization
I20240307003366 ID Practitioner - Family Practice 0446512115 Reassigns benefits to 1 organization
I20240307003492 AZ Practitioner - Family Practice 0446512115 Reassigns benefits to 1 organization
I20260326002364 OH Practitioner - Family Practice 0446512115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Connecticut School of Medicine, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67325AZMDFamily Medicine Physician
A055186CAMDFamily Medicine Physician
CDR.0001830COMDFamily Medicine Physician
MC-1495IDMDFamily Medicine Physician
113327MTMDFamily Medicine Physician
22403NVMDFamily Medicine Physician
MD201160ORMDFamily Medicine Physician
T8427TXMDFamily Medicine Physician
MD61082986WAMDFamily Medicine Physician
55186CAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Sierra Medical Clinic, Inc. Single Specialty CurrentSince Feb 6, 2018 Accepting new patients
Albion Medical Partners of California West P C Single Specialty CurrentSince Nov 20, 2020 Accepting new patients
Western Sierra Medical Clinic, Inc. Single Specialty CurrentSince Feb 6, 2018 Accepting new patients
Western Sierra Medical Clinic, Inc. Single Specialty Current Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

844 Old Tunnel Rd
Grass Valley, CA 95945
Phone (530) 273-4984

11335 NE 122nd Way
Ste 105
Kirkland, WA 98034
Phone (206) 899-5479

Interoperability endpoints

  • Direct secure messaging: dnarita20808@carelonhealth.direct-ci.com

Organizations & group practices 6

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": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1548537723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "916-206-9640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Angkor Hospital for Children",
            "address_purpose": "LOCATION",
            "city": "Siem Reap",
            "state": "Siem Reap",
            "postal_code": "00000",
            "country_code": "KH",
            "telephone_number": "85563963409",
            "country_name": "Cambodia",
            "address_type": "FGN"
        },
        {
            "address_1": "180 Promenade Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958342952",
            "country_code": "US",
            "telephone_number": "510-493-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARITA",
        "first_name": "DAVID",
        "middle_name": "SUSUMU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "55186",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61082986",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12894174-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD201160",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.0001830",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "113327",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T8427",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A055186",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "22403",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MC-1495",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "67325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.