Susan E Sprau MD a Professional Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G44652 Issued in CA

Legal business name

SUSAN E SPRAU MD A PROFESSIONAL CORPORATION

Practice address

200 UCLA Medical PLZ
Suite B265-29
Los Angeles, CA 90095-8344

Phone

(310) 453-3989

Fax

(310) 453-2154

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Sprau, M.D.

Title

President

Phone

(310) 453-3989

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Hunter Markovitz, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1992788426
  NPD (past)
• Atilla B Uner, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Los Angeles, CA
  • NPI 1215992672
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1801088117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280655",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913280655",
            "telephone_number": "310-453-3989",
            "fax_number": "310-453-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "address_2": "SUITE B265-29",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958344",
            "telephone_number": "310-453-3989",
            "fax_number": "310-453-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E SPRAU MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "SPRAU",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-453-3989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G44652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G446520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801088117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265469894",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992788426",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tapasya Dharmesh Surti, DO
• Monika Sury, LCSW
• Angela Natali Suryakusuma, DDS
• Susan B Krevoy Eating Disorders Program at Wright Institute
• Susan Choi & Associates Inc
• Susan M Kallal, M.D. Pharm.D., a.M.C
• Susan N Fukushima MD Inc
• Susan Pekarovics MD a Professional Corporation
• Susan Quinn
• Susan Schmidt-Lackner a Professional Medical Corporation

• Pulmonary Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.