Individual provider Active NPI

Sojung Suk, DNP

  • Adult Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1811376056
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP95000386 Issued in CA
Practice address
121 S Mountain View Ave
Los Angeles, CA 90057-2311
Phone
(833) 883-2889
Fax
(323) 544-6194
NPI assigned
May 20, 2015
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP95000386 CA Primary

Addresses

Primary practice location

121 S Mountain View Ave
Los Angeles, CA 90057-2311

Mailing address

4221 Wilshire Blvd Ste 170-14
Los Angeles, CA 90010-3519
Phone (323) 272-3648

Other practice location 1

4221 Wilshire Blvd Ste 170-8
Los Angeles, CA 90010-3519
Phone (818) 646-7203

Other practice location 2

4221 Wilshire Blvd Ste 170-14
Los Angeles, CA 90010-3519
Phone (323) 272-3648

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120002722 CA Practitioner - Nurse Practitioner 1658674981 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karefirst Nursing California PCGroup PAC ID 2264908326, 10 clinicians
Purpose Driven Mobile PhysicianGroup PAC ID 1557803673, 3 clinicians

Practice addresses (Care Compare)

1100 S Alvarado St
Los Angeles, CA 90006-4110
Phone (847) 235-6130

4221 Wilshire Blvd
Suite 170 8
Los Angeles, CA 90010-3519
Phone (213) 755-9965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95000386CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 11, 2016 Accepting new patients
Osher Resources Inc CurrentSince Dec 1, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 11, 2016 Accepting new patients
Purpose Driven Mobile Physician CurrentSince Apr 7, 2024 Accepting new patients
Umbrella Hospice, Inc CurrentSince Jan 17, 2021 Accepting new patients
Myplace Care Partners, P.C. PastSince Jul 31, 2023 Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

4221 Wilshire Blvd
Ste 170-14
Los Angeles, CA 90010
Phone (323) 272-3648

4221 Wilshire Blvd
Ste 170-8
Los Angeles, CA 90010
Phone (213) 755-9965

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

675 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 585-4120

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Umbrella Hospice IncLos Angeles, CA, CCN B21603 Hospice Corporate Officer
Corporate Director
W-2 Managing Employee
Dec 17, 2019
Dec 17, 2019
Dec 17, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1811376056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 170-14",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103519",
            "telephone_number": "323-272-3648",
            "fax_number": "323-272-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MOUNTAIN VIEW AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572311",
            "telephone_number": "833-883-2889",
            "fax_number": "323-544-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 Wilshire Blvd Ste 170-8",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103519",
            "country_code": "US",
            "telephone_number": "818-646-7203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4221 Wilshire Blvd Ste 170-14",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103519",
            "country_code": "US",
            "telephone_number": "323-272-3648",
            "fax_number": "323-272-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUK",
        "first_name": "SOJUNG",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95000386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.