Ivan Jon Suarez, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5974 Issued in CA

Practice address

6601 Rugby Ave Ste 100
Huntington Park, CA 90255-4040

Phone

(323) 749-9770

Fax

(323) 749-9771

NPI assigned

May 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ivan Suarez Other name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: isuarez839716@direct.ochin.org

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.

• Clinica Monsignor Oscar a Romero

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1275629495
  Medicare reassignment NPD
• Felix Sigal DPM a Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1861774507
  Medicare reassignment NPD
• Clinica Monsignor Oscar a. Romero

  • Federally Qualified Health Center (FQHC)
  • Canoga Park, CA
  • NPI 1245966886
  NPD
• Premium Podiatry, Inc.

  • Podiatrist
  • Encino, CA
  • NPI 1467550897

  Foot & Ankle Surgery

  NPD

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

{
    "created_epoch": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1912580531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 RUGBY AVE STE 100",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554040",
            "telephone_number": "323-749-9770",
            "fax_number": "323-749-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "IVAN JON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVAN",
            "last_name": "SUAREZ",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cammeron Stinson
• Jamal Stokley
• Su Salud Medical Group Inc
• Sandra Su, DDS
• Daniel Suarez, MD
• Pauline Sullivan, REGISTERED NURSE
• Diamond Monet' Summers
• Sundaram Family Medical Clinic Inc. (Sundaram la Familia Medical Clinic)
• Sundaram Family Medical Clinic, Inc.
• Sunwoong Choi, DDS, MD, Dental Corp

• Foot & Ankle Surgery Podiatrist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.