Active NPI
Daniel A Suhr, PA-C
- Physician Assistant
- Corona, CA
National Provider Identifier
1952579872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14016
- Practice address
- 308 W 6TH St Ste 101
Corona, CA 92882-3349 - Phone
- (951) 737-0910
- Fax
- (951) 371-1906
- NPI assigned
- Feb 13, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14016 | CA | Primary |
Addresses
Primary practice location
308 W 6TH St Ste 101
Corona, CA 92882-3349
Mailing address
1901 Town and Country Dr
Ste 104
Norco, CA 92860-3611
Phone (951) 808-6240
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14016 | CA | MD | Physician Assistant |
Interoperability endpoints
- daniel.suhr.p1@direct.cvma.nextgenshare.com
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.
-
dba Circle City Medical Group
- Family Medicine Physician
- Norco, CA
- NPI 1306033709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1952579872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 TOWN AND COUNTRY DR",
"address_2": "STE 104",
"city": "NORCO",
"state": "CA",
"postal_code": "928603611",
"telephone_number": "951-808-6240",
"fax_number": "951-738-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W 6TH ST STE 101",
"city": "CORONA",
"state": "CA",
"postal_code": "928823349",
"telephone_number": "951-737-0910",
"fax_number": "951-371-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUHR",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.