Active NPI
Sapna Suresh, OTR
- Physician Assistant
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61756
- Practice address
- 27001 Moulton Pkwy Ste A102
Laguna Hills, CA 92656-3626 - Phone
- (959) 600-1907
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- 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 | PA61756 | CA | Primary |
Addresses
Primary practice location
27001 Moulton Pkwy Ste A102
Laguna Hills, CA 92656-3626
Mailing address
27001 Moulton Pkwy Ste A102
Laguna Hills, CA 92656-3626
Phone (949) 600-1907
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Utah School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 S Euclid St
Suite 102
Anaheim, CA 92802-4572
Phone (714) 644-9100
235 E 17TH St
Costa Mesa, CA 92627-3831
Phone (949) 688-2010
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883
8135 N Painter Ave
Suite 104
Whittier, CA 90602-3164
Phone (562) 758-2345
831 S State College Blvd
Anaheim, CA 92806-4613
Phone (714) 533-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61756 | CA | MD | Pharmacist |
| PA61756 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Therapy Associates | Current | Accepting new patients | |
| Nellie Gail Urgent Care | Past | Accepting new patients |
Locations
15775 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (714) 500-8388
101 Pacifica
Ste 270
Irvine, CA 92618
Phone (949) 333-3833
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Physical Therapist
- Irvine, CA
- NPI 1902102023
-
- Urgent Care Clinic/Center
- Laguna Hills, CA
- NPI 1073909859
-
- Urgent Care Clinic/Center
- Laguna Hills, CA
- NPI 1306214184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1992929905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27001 MOULTON PKWY STE A102",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926563626",
"telephone_number": "949-600-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27001 MOULTON PKWY STE A102",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926563626",
"telephone_number": "959-600-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURESH",
"first_name": "SAPNA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.
- 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.