Organization Active NPI

David H Su MD Inc

  • Obstetrics & Gynecology Physician
  • Irvine, CA
National Provider Identifier
1750498895
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G59360 Issued in CA
Legal business name
DAVID H SU MD INC
Practice address
22 Odyssey
Suite #110
Irvine, CA 92618-3186
Phone
(949) 786-0891
Fax
(949) 786-0887
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
David H Su, MD
Title
President
Phone
(949) 786-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G59360 CA Primary

Addresses

Primary practice location

22 Odyssey
Suite #110
Irvine, CA 92618-3186

Mailing address

22 Odyssey
Suite #110
Irvine, CA 92618-3186
Phone (949) 786-0891

Other identifiers 1

IdentifierTypeStateIssuer
00G593600MedicaidCA

Other names 1

  • Irvine Women Center Other name

National Provider Directory

National Provider Directory

Locations

22 Odyssey
Ste 110
Irvine, CA 92618
Phone (949) 717-4811

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1750498895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE #110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186",
            "telephone_number": "949-786-0891",
            "fax_number": "949-786-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "SUITE #110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183186",
            "telephone_number": "949-786-0891",
            "fax_number": "949-786-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H SU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-786-0891",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G59360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G593600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irvine Women Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.