Active NPI
Sussan Kokinda
- Sleep Medicine (Internal Medicine) Physician
- Redding, CA
National Provider Identifier
1780211516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 24030
- Practice address
- 1505 Victor Ave
Redding, CA 96003-4031 - Phone
- (478) 751-0367
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 24030 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | GA |
Addresses
Primary practice location
1505 Victor Ave
Redding, CA 96003-4031
Mailing address
1505 Victor Ave
Redding, CA 96003-4031
Phone (478) 751-0367
Other practice location 1
380 Hospital Dr Ste 430
Macon, GA 31217-8017
Phone (478) 751-0367
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
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Philadelphia Col of Osteo Med, Sewanee, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
260 Lee St SW
Tumwater, WA 98501-4403
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Redding, CA
- NPI 1538564463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1780211516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 VICTOR AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960034031",
"telephone_number": "478-751-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 VICTOR AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960034031",
"telephone_number": "478-751-0367"
}
],
"practiceLocations": [
{
"address_1": "380 Hospital Dr Ste 430",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312178017",
"country_code": "US",
"telephone_number": "478-751-0367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOKINDA",
"first_name": "SUSSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "24030",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.