Active NPI
Stephen Chester Suffin, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- West Hills, CA
National Provider Identifier
1609993088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G025413
- Practice address
- 8401 Fallbrook Ave
West Hills, CA 91304-3226 - Phone
- (818) 737-6266
- Fax
- (818) 737-6076
- NPI assigned
- Mar 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G025413 | CA | Primary |
Addresses
Primary practice location
8401 Fallbrook Ave
West Hills, CA 91304-3226
Mailing address
13151 Chandler Blvd
Sherman Oaks, CA 91401-6040
Phone (818) 997-7660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G025413 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609993088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13151 CHANDLER BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914016040",
"telephone_number": "818-997-7660",
"fax_number": "818-997-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 FALLBROOK AVE",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913043226",
"telephone_number": "818-737-6266",
"fax_number": "818-737-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFFIN",
"first_name": "STEPHEN",
"middle_name": "CHESTER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G025413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.