Individual provider Active NPI

Claire Suh, NP

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1831760941
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017728 Issued in CA
Practice address
11398 Kenyon Way Ste J
Rancho Cucamonga, CA 91701-9229
Phone
(213) 247-5730
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017728 CA
Family Nurse Practitioner 363LF0000X 95017728 CA Primary

Addresses

Primary practice location

11398 Kenyon Way Ste J
Rancho Cucamonga, CA 91701-9229

Mailing address

4724 Golden Ridge Dr
Corona, CA 92878-9417
Phone (213) 247-5730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lani City Medical CurrentSince May 1, 2022 Accepting new patients
Lani City Medical Specialty CurrentSince Oct 6, 2024 Accepting new patients

Locations

11398 Kenyon Way
Ste J
Rch Cucamonga, CA 91701
Phone (909) 527-0266

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1831760941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 GOLDEN RIDGE DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928789417",
            "telephone_number": "213-247-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11398 KENYON WAY STE J",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019229",
            "telephone_number": "213-247-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "CLAIRE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017728",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.