Organization Active NPI

Victor R Suckesi DPM

  • Foot & Ankle Surgery Podiatrist
  • Roseville, CA
National Provider Identifier
1730350901
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E27030 Issued in CA
Legal business name
VICTOR R SUCKESI DPM
Practice address
729 Sunrise Ave
Suite 607
Roseville, CA 95661
Phone
(916) 782-3900
Fax
(916) 782-3923
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Victor R Sucheski, DPM
Title
DPM
Phone
(916) 782-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E27030 CA Primary

Addresses

Primary practice location

729 Sunrise Ave
Suite 607
Roseville, CA 95661

Mailing address

729 Sunrise Ave
Suite 607
Roseville, CA 95661
Phone (916) 782-3900

Other identifiers 1

IdentifierTypeStateIssuer
P00215873OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1730350901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "SUITE 607",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-782-3900",
            "fax_number": "916-782-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE",
            "address_2": "SUITE 607",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-782-3900",
            "fax_number": "916-782-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR R SUCKESI DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "SUCHESKI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "916-782-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E27030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00215873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.