Individual provider Active NPI

Wendy Tienhui Su, M.D.

  • Pediatric Surgery Physician
  • Palo Alto, CA
National Provider Identifier
1609807064
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
A67657 Issued in CA
Practice address
725 Welch Rd
Palo Alto, CA 94304
Phone
(650) 497-8000
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X A67657 CA Primary
Surgery Physician 208600000X A67657 CA
Pediatric Surgery Physician 2086S0120X M-14195 ID

Addresses

Primary practice location

725 Welch Rd
Palo Alto, CA 94304

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wsu497845@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070710000802 CA Practitioner - Pediatric MedicinePractitioner - General Surgery 3476653148 Reassigns benefits to 6 organizations
I20120803000139 AZ Practitioner - Pediatric MedicinePractitioner - General Surgery 3476653148 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67657CAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children'S Medical Group CurrentSince May 1, 2018 Accepting new patients
County of Santa Clara Family Medicine Current Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jul 1, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
Stanford Health Care CurrentSince Jul 1, 2018 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jun 1, 2012 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
County of Santa Clara CurrentSince Jan 28, 2019 Accepting new patients
County of Santa Clara CurrentSince Jan 28, 2019 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jun 1, 2012 Accepting new patients
County of Santa Clara CurrentSince Jan 28, 2019 Accepting new patients
County of Santa Clara CurrentSince Jan 28, 2019 Accepting new patients
Stanford Health Care Surgery CurrentSince Jul 1, 2018 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
John Muir Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Banner Desert Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

5310 W Thunderbird Rd
Ste 110
Glendale, AZ 85306
Phone (602) 865-4065

5310 W Thunderbird Rd
Ste 310
Glendale, AZ 85306
Phone (602) 865-4470

1432 S Dobson Rd
Ste 509
Mesa, AZ 85202
Phone (480) 412-6970

1450 S Dobson Rd
Ste B221
Mesa, AZ 85202
Phone (480) 461-1161

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

6121 Hollis St
Ste 2
Emeryville, CA 94608
Phone (510) 587-9600

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

730 Welch Rd
Palo Alto, CA 94304
Phone (650) 723-4800

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

106 La Casa Via
Ste 100
Walnut Creek, CA 94598
Phone (925) 239-2900

106 La Casa Via
Walnut Creek, CA 94598
Phone (925) 899-2186

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: wsu196112@santaclaravalley.direct-ci.net
  • Direct secure messaging: wsu237867@hisp.ehr.sutterhealth.org
  • Direct secure messaging: wsu55233@valleychildrens-prd.direct-ci.com

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1609807064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "WENDY",
        "middle_name": "TIENHUI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A67657",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A67657",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "ID",
            "license": "M-14195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wsu497845@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 W 8th Ave Ste 100L1",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.