Sud Specialty Group - Ca
Organization Active NPI Addiction Medicine (Psychiatry & Neurology) Physician · Santa Clara, CA
NPI 1972138238 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1972138238
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
- Legal business name
- SUD SPECIALTY GROUP - CA
- Practice address
- 4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846 - Phone
- (323) 205-7088
- Fax
- (866) 277-9071
- NPI assigned
- Mar 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Gabriel Diop
- Title
- Authorized Agent
- Phone
- (323) 205-7088
Practitioners 1,487
-
Margarita Abramov, PH.D
-
Alison Sarah Adler, LMFT, LPCC
-
Denise Aguilar, LCSW
-
Victor Alcantar, MFT LICENSE
-
Decinda Allen, IMF
-
Uchechukwu Adaure Alozie, LCSW
-
Jacqueline Angeles, M.A., LMFT #93466
-
Karen Marie Asbra, LICENSED MFT
-
Brettina Ashworth, LMFT
-
Betty Avery, LMFT
-
Jonathan H Bach, LMFT
-
Steven Baerg, LCSW
-
Hilda Balakhane, LCSW
-
Greg Barry, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230412001370 | CA | Part B Supplier - Clinic/Group Practice | 9537534177 |
Receives reassigned benefits from 1,461 practitioners Practice locations: Santa Clara, CA; Santa Monica, CA |
National Provider Directory
Locations
4470 W Sunset Blvd
Ste 107
Los Angeles, CA 90027
Phone (323) 701-0371
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
312 Arizona Ave
Santa Monica, CA 90401
Phone (714) 455-9650
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Cognitive & Behavioral Psychologist |
103TB0200X | |||
| Counseling Psychologist |
103TC1900X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Case Manager/Care Coordinator |
171M00000X | |||
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | |||
| Addiction Medicine (Internal Medicine) Physician |
207RA0401X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician |
2084A0401X | Yes | ||
| Psychiatry Physician |
2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846
Mailing address
PO Box 746877
Atlanta, GA 30374-6877
Phone (323) 205-7088
Other practice location 1
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone (323) 205-7088
Other names
- Rula Health
Other providers in Santa Clara, CA
- Inna Strugatsky
- Jennifer Elizabeth Stuckey
- Studio Optics Optometric Group, Inc.
- Walter Su
- Audrey VL Suciu
- Rattehalli R. Sudesh
- Sudha Sudesh
- Grace Catherine Suggs
- Amily Suh
- Eun Young Suh
All providers in Santa Clara, CA · Addiction Medicine (Psychiatry & Neurology) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.