Active NPI
David H Su MD Inc
- Obstetrics & Gynecology Physician
- Irvine, CA
National Provider Identifier
1750498895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G59360
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G593600 | Medicaid | CA |
Other names 1
- Irvine Women Center
National Provider Directory
National Provider DirectoryLocations
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.