Individual provider Active NPI

Suzanne Hyun, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Riverside, CA
National Provider Identifier
1770927949
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A132481 Issued in CA
Practice address
6900 Brockton Ave Ste 103
Riverside, CA 92506
Phone
(951) 784-7111
NPI assigned
Apr 18, 2013
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X A132481 CA Primary

Addresses

Primary practice location

6900 Brockton Ave Ste 103
Riverside, CA 92506

Mailing address

6900 Brockton Ave Ste 103
Riverside, CA 92506-3817

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
I20171121003194 CA Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Internal Medicine 1456618776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of California, San Diego School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Pain Consultants Inc.Group PAC ID 1951482975, 5 clinicians

Practice addresses (Care Compare)

6900 Brockton Ave
Suite 103
Riverside, CA 92506-3817
Phone (951) 784-7111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132481CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pain Consultants, Inc. Single Specialty CurrentSince Aug 1, 2018 Accepting new patients
KND Development 59 LLC Single Specialty Current Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

3989 W Stetson Ave
Ste 102
Hemet, CA 92545

6900 Brockton Ave
Ste 103
Riverside, CA 92506
Phone (951) 684-8397

164 W Hospitality Ln
Ste 5
San Bernardino, CA 92408

27990 Sherman Rd
Sun City, CA 92585
Phone (909) 672-1931

27450 Ynez Rd
Ste 128
Temecula, CA 92591
Phone (714) 935-0073

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7620/brand/1/csg/1/fhir/r4
  • Direct secure messaging: suzanne.hyun.1@7620.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1770927949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 BROCKTON AVE STE 103",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92506",
            "telephone_number": "951-784-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYUN",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A132481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.