NPIMap

Individual provider Active NPI

Henry Su, M.D.

  • Infectious Disease Physician
  • Long Beach, CA
National Provider Identifier
1902033913
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A114359 Issued in CA
Practice address
1043 Elm Ave Ste 301
Long Beach, CA 90813-3295
Phone
(562) 624-4943
Fax
(562) 624-4974
NPI assigned
Jun 17, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A114359 CA Primary

Addresses

Primary practice location

1043 Elm Ave Ste 301
Long Beach, CA 90813-3295

Mailing address

1043 Elm Ave Ste 301
Long Beach, CA 90813-3295
Phone (562) 624-4943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120830000098 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8022265818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of California, San Diego School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A114359CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Single Specialty Current Accepting new patients
Prohealth Partners a Medical Group Inc Single Specialty CurrentSince Aug 1, 2015 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients
St Mary Medical Center Inc Past Accepting new patients
Cedars-Sinai Medical Center Single Specialty Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1040 Elm Ave
Ste 100
Long Beach, CA 90813
Phone (562) 491-2145

1040 Elm Ave
Ste 200
Long Beach, CA 90813
Phone (562) 624-4999

1040 Elm Ave
Ste 303
Long Beach, CA 90813
Phone (562) 436-9645

1045 Atlantic Ave
Ste 505
Long Beach, CA 90813
Phone (562) 437-0996

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hsu371100@direct.memorialcare.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902033913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133295",
            "telephone_number": "562-624-4943",
            "fax_number": "562-624-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE STE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133295",
            "telephone_number": "562-624-4943",
            "fax_number": "562-624-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A114359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.