Individual provider Active NPI

Alejandra Ruth Suzuki, M.D.

  • Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1730213497
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A72329 Issued in CA
Practice address
1 Jenner Ste 210
Irvine, CA 92618-3844
Phone
(714) 867-7037
Fax
(714) 252-7934
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A72329 CA
Psychiatry Physician 2084P0800X A72329 CA Primary

Addresses

Primary practice location

1 Jenner Ste 210
Irvine, CA 92618-3844

Mailing address

1 Jenner Ste 210
Irvine, CA 92618-3844
Phone (714) 867-7037

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
I20041020000732 CA Practitioner - Psychiatry 9133180425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A R Suzuki MD a Professional CorporationGroup PAC ID 1456857523, 2 clinicians

Practice addresses (Care Compare)

1 Jenner
Suite 210
Irvine, CA 92618-3844
Phone (714) 867-7037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72329CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A R Suzuki MD a Professional Corporation Psychiatry CurrentSince Sep 11, 2018 Accepting new patients
Alejandra R. Suzuki, M.D. a Professional Corporation Psychiatry CurrentSince Nov 16, 2021 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Ut Physicians Psychiatry Past Accepting new patients
Shuichi Suzuki, M.D., Inc. Past Accepting new patients

Locations

1 Jenner
Ste 210
Irvine, CA 92618
Phone (714) 206-5201

Interoperability endpoints

  • Direct secure messaging: alejandrasuzuki@rrh.medalliesdirect.net

Organizations & group practices 5

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1730213497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JENNER STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183844",
            "telephone_number": "714-867-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JENNER STE 210",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183844",
            "telephone_number": "714-867-7037",
            "fax_number": "714-252-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "ALEJANDRA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A72329",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A72329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.