DANIEL C SU (NPI# 1508109133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508109133 |
| Entity Type | Individual |
| Full Name | DANIEL C SU |
| Credential | M.D. |
| Practice Address |
1245 Wilshire Blvd Ste 380 Los Angeles CA 90017-4886 |
| Practice Telephone | 2134838810 |
| Practice Fax Number | 2139759118 |
| Mailing Telephone | 2134838810 |
| Mailing Fax Number | 2139759118 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2019-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD460411 | PA | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
A134110 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811031156 | Daniel L Su | Family Medicine | 436 Ted Stevens Way, Maniilaq Health Center, Kotzebue, AK 99752 | 2007-02-19 |
| 1710251624 | Daniel D Su | Pharmacist | 510 N Main St, Santa Ana, CA 92701-4620 | 2012-02-24 |
| 1235442534 | Daniel Su | Urology | 25200 La Paz Rd Ste 200, Laguna Hills, CA 92653-5134 | 2010-07-15 |
| Street Address |
1245 WILSHIRE BLVD STE 380 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-4886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736916 | David S Boyer | Ophthalmology | 1245 Wilshire Blvd Ste 380, Los Angeles, CA 90017-4886 | 2005-08-03 |
| 1033407549 | Jeffrey Jing Tan | Ophthalmology | 1245 Wilshire Blvd Ste 380, Los Angeles, CA 90017-4886 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379208 | Juan Carlos Martinez Camarillo | Ophthalmology | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-09-01 |
| 1922567387 | David Lazar, M.d. Medical Coproration | Ophthalmology | 11600 Wilshire Blvd Ste 522, Los Angeles, CA 90025-1788 | 2019-03-15 |
| 1700239530 | Greg Budoff | Ophthalmology | 100 Stein Plz, Los Angeles, CA 90095-1808 | 2016-07-17 |
| 1962883025 | Kirk Hou | Ophthalmology | 200 Stein Plaza #1-340, Los Angeles, CA 90095 | 2015-06-15 |
| 1033505219 | Alexander Juhn | Ophthalmology | 200 Stein Plaza #1-340, Los Angeles, CA 90095 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031363 | Salehi Retina Institute Inc. | Ophthalmology | 7777 Edinger Ave Ste 234, Huntington Beach, CA 92647-8693 | 2019-09-06 |
| 1669969960 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 1680 E Roseville Pkwy Ste 140, Roseville, CA 95661-3988 | 2018-04-23 |
| 1144733403 | Vitreo-retinal Medical Group Inc | Ophthalmology | 1870 Lassen Blvd Ste B, Yuba City, CA 95993-9455 | 2017-11-08 |
| 1831608264 | Robert Kim | Ophthalmology | 95 Kirkham Avenue, 201, Box 0730, San Francisco, CA 94122 | 2017-09-28 |
| 1538687785 | Thomas Carl Salzano | Ophthalmology | 204 Gainsborough Circle, Folsom, CA 95630 | 2017-09-07 |
| 1992228795 | Central Coast Eye, Inc., A Professional Medical Corporation | Ophthalmology | 628 California Blvd Ste C, San Luis Obispo, CA 93401-2547 | 2017-07-24 |
| 1295013712 | Mukesh Bhogilal Suthar Md Inc | Ophthalmology | 10808 Foothill Blvd Ste 160-203, Rancho Cucamonga, CA 91730-3889 | 2011-08-01 |
| 1790928067 | Bay Area Retina Associates,medical Group | Ophthalmology | 1460 N Camino Alto Ste 109, Vallejo, CA 94589-2567 | 2009-04-15 |
| 1083857353 | Bay Area Retina Associates,medical Group | Ophthalmology | 15051 Hesperian Blvd Ste D, San Leandro, CA 94578-3536 | 2009-04-15 |
| 1942489356 | Ash Pirouz | Ophthalmology | 301 W Bastanchury Rd Ste 285, Fullerton, CA 92835-3432 | 2007-11-01 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.