Individual provider Active NPI

Sushan Joshi

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1982851143
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C192634 Issued in CA
Practice address
3400 Lomita Blvd Ste 104
Torrance, CA 90505-4900
Phone
(310) 784-8000
Fax
(310) 784-8008
NPI assigned
Aug 19, 2008
Last updated
May 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD154091 OR
Internal Medicine Physician 207R00000X C192634 CA Primary

Addresses

Primary practice location

3400 Lomita Blvd Ste 104
Torrance, CA 90505-4900

Mailing address

3400 Lomita Blvd Ste 104
Torrance, CA 90505-4900
Phone (310) 784-8000

Other identifiers 6

IdentifierTypeStateIssuer
161133OtherORNBMC MAIN GROUP MEDICAID
160423OtherORMEDICARE-PTAN
1407812365OtherORNBMC MAIN GROUP NPI
500635717MedicaidOR
930635514OtherORNBMC MAIN GROUP TAX ID
R0000WFBTVOtherNBMC MAIN GROUP MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110816000713 OR Practitioner - Internal Medicine 9931378502 Reassigns benefits to 3 organizations
I20240509003765 CA Practitioner - Internal Medicine 9931378502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

3400 Lomita Blvd
Suite 104
Torrance, CA 90505-4900
Phone (310) 517-7021

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C192634CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Sep 1, 2011 Accepting new patients
Torrance Health Association Inc CurrentSince May 15, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Jan 25, 2012 Accepting new patients
Bay Area Hospital District CurrentSince Jan 25, 2012 Accepting new patients
North Bend Medical Center Inc CurrentSince Sep 1, 2011 Accepting new patients
Bay Clinic CurrentSince Jan 6, 2023 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3400 Lomita Blvd
Ste 104
Torrance, CA 90505
Phone (310) 326-5648

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/bea62b1d-5b0c-4c1a-bdbd-eaa129312421/

Organizations & group practices 7

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 2

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1982851143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054900",
            "telephone_number": "310-784-8000",
            "fax_number": "310-784-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054900",
            "telephone_number": "310-784-8000",
            "fax_number": "310-784-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "SUSHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD154091",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C192634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBMC MAIN GROUP MEDICAID",
            "identifier": "161133",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PTAN",
            "identifier": "160423",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBMC MAIN GROUP NPI",
            "identifier": "1407812365",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500635717",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBMC MAIN GROUP TAX ID",
            "identifier": "930635514",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBMC MAIN GROUP MEDICARE",
            "identifier": "R0000WFBTV",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.