Individual provider Active NPI

Amit Sureen, DO

  • Rheumatology Physician
  • Riverside, CA
National Provider Identifier
1619533742
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
20A22708 Issued in CA
Practice address
21832 Cactus Ave
Riverside, CA 92518-3010
Phone
(951) 924-6500
NPI assigned
May 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2022018807 MO
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X 20A22708 CA Primary

Addresses

Primary practice location

21832 Cactus Ave
Riverside, CA 92518-3010

Mailing address

21832 Cactus Ave
Riverside, CA 92518-3010
Phone (951) 924-6500

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
I20240625000802 CA Practitioner - Internal MedicinePractitioner - Rheumatology 0446631121 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22708CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Arthrites and Osteoporosis Medical Center Inc Rheumatology CurrentSince Jun 17, 2024 Accepting new patients

Locations

1820 Fullerton Ave
Ste 350
Corona, CA 92881
Phone (951) 256-1779

949 Calhoun Pl
Ste F
Hemet, CA 92543
Phone (909) 652-5000

29798 Haun Rd
Ste 301
Menifee, CA 92586
Phone (951) 652-5000

21832 Cactus Ave
Riverside, CA 92518
Phone (951) 924-6500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amit.sureen@direct.myhealthep.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1619533742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21832 CACTUS AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183010",
            "telephone_number": "951-924-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21832 CACTUS AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925183010",
            "telephone_number": "951-924-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUREEN",
        "first_name": "AMIT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2022018807",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "20A22708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.