Active NPI
Suzan Qusay Mahdai, M.D.
- Internal Medicine Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A154838
- Practice address
- 435 H St
Chula Vista, CA 91910-4307 - Phone
- (619) 691-7000
- Fax
- (313) 966-1804
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301101899 | MI | |
| Hospitalist Physician | 208M00000X | 4301101899 | MI | |
| Internal Medicine Physician | 207R00000X | A154838 | CA | Primary |
Addresses
Primary practice location
435 H St
Chula Vista, CA 91910-4307
Mailing address
435 H St
Chula Vista, CA 91910-4307
Phone (832) 371-3279
Other practice location 1
435 H St
Chula Vista, CA 91910-4307
Phone (832) 371-3279
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7000
Hospital & facility affiliations
- Scripps Mercy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154838 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health Inpatient Providers Medical Group Inc. | Hospitalist | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients |
Locations
435 H St
Ste Cv
Chula Vista, CA 91910
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
7592 Broadway
Lemon Grove, CA 91945
Phone (619) 515-2550
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Interoperability endpoints
- smahdai286238@scrippshlth.medalliesdirect.net
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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1699043000
Hospitalist
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1174549232
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1598015679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 H ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104307",
"telephone_number": "832-371-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 H ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104307",
"telephone_number": "619-691-7000",
"fax_number": "313-966-1804"
}
],
"practiceLocations": [
{
"address_1": "435 H St",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919104307",
"country_code": "US",
"telephone_number": "832-371-3279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHDAI",
"first_name": "SUZAN",
"middle_name": "QUSAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301101899",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301101899",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A154838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.