Active NPI
Natalie Isabella Suric, LMFT
- Marriage & Family Therapist
- San Pedro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT122012
- Practice address
- 1434 Brett PL Unit 67
San Pedro, CA 90732-5140 - Phone
- (310) 480-5086
- NPI assigned
- Apr 5, 2021
- Last updated
- Jul 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT122012 | CA | Primary |
Addresses
Primary practice location
1434 Brett PL Unit 67
San Pedro, CA 90732-5140
Mailing address
7677 Center Ave Ste 405
Huntington Beach, CA 92647-3098
Phone (949) 565-4733
Other practice location 1
3848 W Carson St Ste 103
Torrance, CA 90503-6704
Phone (949) 873-6709
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT122012 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Eagan Medical Group, Inc. | Current | Accepting new patients |
Locations
7677 Center Ave
Ste 405
Huntington Beach, CA 92647
Phone (714) 369-8037
23961 Calle de la Magdalena
Ste 420
Laguna Hills, CA 92653
Phone (833) 501-3079
100 Oceangate
Ste 610
Long Beach, CA 90802
Phone (717) 476-4282
2050 W Chapman Ave
Ste 201
Orange, CA 92868
Phone (214) 751-8987
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
3848 W Carson St
Ste 103
Torrance, CA 90503
Phone (310) 897-5889
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- San Jose, CA
- NPI 1154994846
Marriage & Family Therapist
-
dba Anew Era TMS & Psychiatry CA
- Psychiatry Physician
- Huntington Beach, CA
- NPI 1265946289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1861071144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7677 CENTER AVE STE 405",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473098",
"telephone_number": "949-565-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 BRETT PL UNIT 67",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907325140",
"telephone_number": "310-480-5086"
}
],
"practiceLocations": [
{
"address_1": "3848 W Carson St Ste 103",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905036704",
"country_code": "US",
"telephone_number": "949-873-6709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SURIC",
"first_name": "NATALIE",
"middle_name": "ISABELLA",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT122012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.