Individual provider Active NPI

Natalie Isabella Suric, LMFT

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1861071144
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT122012 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524000632 CA Practitioner - Marriage and Family Therapist 1355783135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT122012CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Apr 13, 2024 Accepting new patients
Eagan Medical Group, Inc. CurrentSince Apr 1, 2021 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.

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

Verify at the official NPI Registry.