Individual provider Active NPI

Santi Smithsuvan, O.D.

  • Optometrist
  • Torrance, CA
National Provider Identifier
1922154954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9787T Issued in CA
Practice address
2751 Skypark Dr
Torrance Costco
Torrance, CA 90505-5351
Phone
(310) 539-7100
Fax
(310) 539-7121
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9787T CA Primary

Addresses

Primary practice location

2751 Skypark Dr
Torrance Costco
Torrance, CA 90505-5351

Mailing address

2751 Skypark Dr
Torrance, CA 90505-5351
Phone (310) 539-7100

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

State licenses

LicenseStateTypeSpecialty
9787TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Santi Smithsuvan, O.D., Inc. Current Accepting new patients

Organizations & group practices 1

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922154954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055351",
            "telephone_number": "310-539-7100",
            "fax_number": "310-539-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 SKYPARK DR",
            "address_2": "TORRANCE COSTCO",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055351",
            "telephone_number": "310-539-7100",
            "fax_number": "310-539-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHSUVAN",
        "first_name": "SANTI",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9787T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.