Individual provider Active NPI

Robert Reagan Suong, MD

  • Obstetrics & Gynecology Physician
  • Banning, CA
National Provider Identifier
1558525220
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A120387 Issued in CA
Practice address
5957 W Ramsey St
Banning, CA 92220-3058
Phone
(951) 945-0313
NPI assigned
Jul 11, 2008
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A120387 CA Primary

Addresses

Primary practice location

5957 W Ramsey St
Banning, CA 92220-3058

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000432 CA Practitioner - Obstetrics/Gynecology 6709034770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

Practice addresses (Care Compare)

5957 W Ramsey St
Banning, CA 92220-3058
Phone (951) 845-0313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120387CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
Beaver Medical Group P C CurrentSince Aug 15, 2012 Accepting new patients
Beaver Medical Group P C Obstetrics & Gynecology CurrentSince Aug 15, 2012 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 1, 2026 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 1, 2026 Accepting new patients
San Gabriel Valley Perinatal Medical Group, Inc PastSince Jun 22, 2005 Accepting new patients
Beaver Medical Group P C Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

6109 W Ramsey St
Banning, CA 92220
Phone (909) 845-0313

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

Interoperability endpoints

  • Direct secure messaging: rsuong11193@epiclp.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1558525220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203058",
            "telephone_number": "951-945-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUONG",
        "first_name": "ROBERT",
        "middle_name": "REAGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A120387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

Verify at the official NPI Registry.