Suma Oommen M D Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SUMA OOMMEN M D INC

Practice address

24432 Muirlands Blvd Ste 219
Lake Forest, CA 92630-3939

Phone

(949) 852-9038

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Suma Oommen, MDNPI 1063431203

Title

President

Phone

(949) 852-8031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suma Oommen, M.D.

  • Internal Medicine Physician
  • Lake Forest, CA
  • NPI 1063431203
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1578733465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24432 MUIRLANDS BLVD STE 219",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303939",
            "telephone_number": "949-852-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24432 MUIRLANDS BLVD STE 219",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303939",
            "telephone_number": "949-852-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMA OOMMEN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "SUMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-852-8031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Strickland
• Megan Strudwick
• James Su, MD
• Shairani Subarajan, DO
• Dominique Fitria Sukani
• Coreeliza J Sun, OD
• Zhixia Sun
• Rozie Sundstedt
• Arulkumaran Suriakannu
• Shannon Anna-Marie Swanson, MA, LMFT

• Internal Medicine Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.