MONICA SU MD INC (NPI# 1881074300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881074300 |
| Entity Type | Organization |
| Organization Name | MONICA SU MD INC |
| Practice Address |
1000 Newbury Rd Ste 115 Newbury Park CA 91320-6435 |
| Practice Telephone | 8053751633 |
| Practice Fax Number | 8059559966 |
| Mailing Telephone | 8053751633 |
| Mailing Fax Number | 8059559966 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-08-31 |
| Authorized Official Name | LISA ANN VANESSEN (INSURANCE ADMINISTRATOR) |
| Authorized Official Telephone | 8059559990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A134489 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1000 NEWBURY RD STE 115 |
| City | NEWBURY PARK |
| State | CA |
| Zip Code | 91320-6435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493058 | Weiyang Stanley Su | Specialist | 1000 Newbury Rd, Suite 115, Newbury Park, CA 91320-3613 | 2005-08-10 |
| 1710456140 | Parveen A Khan | Dentist | 1000 Newbury Rd, Newbury Park, CA 91320-6435 | 2018-11-14 |
| 1598204497 | Greg Rubin Dds | Dentist | 1000 Newbury Rd, Suite 138, Newbury Park, CA 91320-6435 | 2017-02-13 |
| 1134667389 | Ark Pharmacy PC | Pharmacy | 1000 Newbury Rd, Ste 100, Newbury Park, CA 91320-6435 | 2017-02-08 |
| 1740698356 | Krysta Nicole Carlson | Physician Assistant | 1000 Newbury Rd, Newbury Park, CA 91320-6435 | 2014-07-27 |
| 1356769400 | Pharmacy Care Solutions, Inc. | Pharmacist | 1000 Newbury Rd, Suite 100, Newbury Park, CA 91320-6435 | 2014-04-04 |
| 1609294826 | Peter Low Md Inc | Clinic/Center | 1000 Newbury Rd, Suite 115, Newbury Park, CA 91320-6435 | 2014-04-03 |
| 1407288327 | Diane Li Md, Inc | Internal Medicine | 1000 Newbury Rd, Suite 115, Newbury Park, CA 91320-6435 | 2013-08-01 |
| 1255696654 | Esteban Bonfante Md Inc | Pediatrics | 1000 Newbury Rd, Suite 285, Newbury Park, CA 91320-6435 | 2012-07-11 |
| 1467758235 | Prestige Medical Associates, Inc. | Internal Medicine | 1000 Newbury Rd, Ste. 130, Newbury Park, CA 91320-6435 | 2011-01-26 |
| Find all providers in the same location | ||||
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| 1235603325 | Jefix LLC | Durable Medical Equipment & Medical Supplies | 1351 Alessandor Drive, Newberry Park, CA 91320 | 2019-01-11 |
| 1972074987 | Ayreen Sonbol | Non-emergency Medical Transport (VAN) | 79 N Madrid Ave, Newbury Park, CA 91320 | 2018-12-17 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1750874996 | Lady Mary Lhaine Escoto Sagun | Registered Nurse | 1550 Pachino Circle Apt G, Thousand Oaks, CA 91320 | 2018-06-12 |
| 1528410784 | Cristina Rose Markiewicz | Dentist | 400 S. Reino Road, Suite 100, Newbury Park, CA 91320 | 2016-07-12 |
| 1639559552 | Joshua Tree Healthcare, Inc. | Home Health | 2545 W Hillcrest Dr Ste 130a, Thousand Oaks, CA 91320 | 2015-06-05 |
| 1841679651 | Vesper Healthcare, Inc. | Hospice Care, Community Based | 2545 W Hillcrest Dr Ste 130, Thousand Oaks, CA 91320 | 2015-05-26 |
| 1376952580 | Lori Diamond | Pharmacist | 512 Ventu Park Rd, Thousand Oaks, CA 91320 | 2014-08-13 |
| 1275942807 | J J Abbott Dds, PC | Dentist | 501-i S. Reino Rd #214, Newbury Park, CA 91320 | 2014-08-07 |
| Find all providers in zip 91320 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396198529 | Richard Markus | General Practice | 5520 Via Mira Flores, Newbury Park, CA 91320-6883 | 2016-07-23 |
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| City | NEWBURY PARK |
| Zip Code | 91320 |
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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.