Active NPI
Mukesh B. Suthar, MD
- Ophthalmology Physician
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G86105
- Practice address
- 10808 Foothill Blvd
Suite 160-203
Rancho Cucamonga, CA 91730-3889 - Phone
- (909) 660-3003
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | G86105 | CA | |
| Ophthalmology Physician | 207W00000X | G86105 | CA | Primary |
Addresses
Primary practice location
10808 Foothill Blvd
Suite 160-203
Rancho Cucamonga, CA 91730-3889
Mailing address
10808 Foothill Blvd
Suite 160-203
Rancho Cucamonga, CA 91730-3889
Phone (909) 895-4531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G861050 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G86105 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Ophthalmology | Current | Accepting new patients |
| Mukesh Bhogilal Suthar MD Inc | Ophthalmology | Current | Accepting new patients |
| Cal Med Physicians and Surgeons, Inc. | Ophthalmology | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Milauskas Eye Institute Medical Group II Inc | Ophthalmology | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700
10808 Foothill Blvd
Ste 160203
Rancho Cucamonga, CA 91730
Phone (909) 660-3003
6377 Riverside Ave
Ste 170
Riverside, CA 92506
Phone (909) 558-2154
4515 Central Ave
Ste 101
Riverside, CA 92506
Phone (909) 784-2420
2195 Club Center Dr
Ste L
Sn Bernrdno, CA 92408
Phone (909) 558-2154
2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750
Interoperability endpoints
- mukesh.suthar.p1@direct.milauskas.nextgenshare.com
Organizations & group practices 8
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Ophthalmology Physician
- San Bernardino, CA
- NPI 1851044366
-
- Ophthalmology Physician
- Palm Desert, CA
- NPI 1235654344
-
- Clinical Pathology Physician
- Moreno Valley, CA
- NPI 1275191926
-
- Ophthalmology Physician
- Loma Linda, CA
- NPI 1437109469
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Ophthalmology Physician
- Rancho Mirage, CA
- NPI 1235210584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1740338607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10808 FOOTHILL BLVD",
"address_2": "SUITE 160-203",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303889",
"telephone_number": "909-895-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10808 FOOTHILL BLVD",
"address_2": "SUITE 160-203",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303889",
"telephone_number": "909-660-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHAR",
"first_name": "MUKESH",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "CA",
"license": "G86105",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G86105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G861050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
- Superior Multi-Specialty Medical Group Inc of Ca
- Supreme Medical Transportation LLC
- Surgical Arts of the Inland Empire Inc.
- Surgical Group of the Inland Empire
- Susanna Chan D.P.M., Inc
- Suubimind Integrated Nursing Inc
- Jenna Swaffer, DC
- Swan Psychological Services, Inc.
- June Angela Swan, PH D.
- Caitlin Elaine Swanson, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.