Active NPI
David Susumu Narita, MD
- Family Medicine Physician
- Cerritos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A055186
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67325 | AZ | MD | Family Medicine Physician |
| A055186 | CA | MD | Family Medicine Physician |
| CDR.0001830 | CO | MD | Family Medicine Physician |
| MC-1495 | ID | MD | Family Medicine Physician |
| 113327 | MT | MD | Family Medicine Physician |
| 22403 | NV | MD | Family Medicine Physician |
| MD201160 | OR | MD | Family Medicine Physician |
| T8427 | TX | MD | Family Medicine Physician |
| MD61082986 | WA | MD | Family Medicine Physician |
| 55186 | CA | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Sierra Medical Clinic, Inc. | Single Specialty | Current | Accepting new patients |
| Albion Medical Partners of California West P C | Single Specialty | Current | Accepting new patients |
| Western Sierra Medical Clinic, Inc. | Single Specialty | Current | 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
- 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.
-
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
Single Specialty
-
- Urgent Care Clinic/Center
- Downieville, CA
- NPI 1851513469
Single Specialty
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1508267535
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
AZ, ID, MT, NV, OH, OR, WA
-
- Federally Qualified Health Center (FQHC)
- Grass Valley, CA
- NPI 1063496396
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Oregon House, CA
- NPI 1780463257
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.