Southern California Infectious Disease Medical Group

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

W11997 Issued in CA

Legal business name

SOUTHERN CALIFORNIA INFECTIOUS DISEASE MEDICAL GROUP

Practice address

2325 Townsgate Rd
Suite 100
Westlake Village, CA 91361-5986

Phone

(213) 483-0901

Fax

(213) 483-6650

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Suman Radhakrishna, MDNPI 1225069248

Title

MD/Partner

Phone

(213) 483-0901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Suman M Radhakrishna, MD

  • Specialist
  • Beverly Hills, CA
  • NPI 1225069248
  Medicare reassignment Care Compare group NPD Authorized official
• Alexander Kim, MD

  • Specialist
  • Beverly Hills, CA
  • NPI 1881629335
  Medicare reassignment Care Compare group NPD
• Joseph M Nussbaum, MD

  • Infectious Disease Physician
  • Westlake Village, CA
  • NPI 1922033463
  Medicare reassignment Care Compare group NPD
• James D Homans, MD

  • Pediatric Infectious Diseases Physician
  • Los Angeles, CA
  • NPI 1841398005
  Medicare reassignment NPD
• K Alex Kim, MD

  • Specialist
  • Beverly Hills, CA
  • NPI 1528133972
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1639100662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2190",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906322190",
            "telephone_number": "213-483-0901",
            "fax_number": "213-483-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 TOWNSGATE RD",
            "address_2": "SUITE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615986",
            "telephone_number": "213-483-0901",
            "fax_number": "213-483-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA INFECTIOUS DISEASE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "RADHAKRISHNA",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "213-483-0901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "W11997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Geeeun Song
• Wonjo Song, DDS
• Soothe, Inc.
• Kris Sourbeer, LEP
• Jackson Delord Sousa, LMFT., CSAT-S., CST.
• Barbara Sue Spear, MA MFT
• Specialty Surgical Center of Westlake Village, LLC
• Jenna Speckman
• Miok Spencer
• Stacey Leigh Spencer, AMFT

• Infectious Disease Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.