JEFFREY SU (NPI# 1952899502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952899502 |
| Entity Type | Individual |
| Full Name | JEFFREY SU |
| Credential | DPT |
| Practice Address |
708 W 1st St Los Angeles CA 90012-2442 |
| Practice Telephone | 2136172947 |
| Mailing Telephone | 2136172947 |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PT294376 | CA | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 294376 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICAL THERAPY | PT294376 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68 Willow Rd, Menlo Park, CA 940253653 | 8668396979 |
| Street Address |
708 W 1ST ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255369260 | Axispt, Inc | Specialist | 708 W 1st St, Los Angeles, CA 90012-2442 | 2006-06-29 |
| 1023646809 | Hector Shung | Physical Therapist | 708 W 1st St, Los Angeles, CA 90012-2442 | 2020-03-29 |
| 1518430891 | Karen Khuu | Physical Therapist | 708 W 1st St, Los Angeles, CA 90012-2442 | 2019-01-09 |
| 1376980904 | Megan E O'linn | Physical Therapist | 708 W 1st St, Los Angeles, CA 90012-2442 | 2013-05-22 |
| 1730450933 | Gabrielle Gailyn Comrie | Physical Therapist | 708 W 1st St, Los Angeles, CA 90012-2442 | 2012-01-19 |
| 1407125925 | Adam Ezekiel Schultz | Physical Therapist | 708 W 1st St, Los Angeles, CA 90012-2442 | 2011-12-29 |
| 1497765986 | Steven Albert Grinsted | Specialist | 708 W 1st St, Los Angeles, CA 90012-2442 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578186 | Tracy Tran Physical Therapy | Physical Medicine & Rehabilitation | 5166 Eagle Rock Blvd, Los Angeles, CA 90041-1115 | 2020-08-16 |
| 1932734969 | Jasmine Angelina Velasquez | Physical Medicine & Rehabilitation | 12017 Herbert St, Los Angeles, CA 90066-5201 | 2020-03-10 |
| 1326536665 | Healing Path 3 | Physical Medicine & Rehabilitation | 2211 Corinth Ave Ste 211, Los Angeles, CA 90064-1621 | 2018-04-23 |
| 1992296420 | Trevin Thurman Md Inc | Physical Medicine & Rehabilitation | 11500 W Olympic Blvd Ste 640, Los Angeles, CA 90064-1525 | 2018-05-21 |
| 1528389897 | Steve Crear | Physical Medicine & Rehabilitation | 12424 Wilshire Blvd, Los Angeles, CA 90025-1052 | 2010-06-21 |
| 1619137544 | Vishal Thakral | Physical Medicine & Rehabilitation | 1125 S Beverly Dr, Suite 720, Los Angeles, CA 90035-1148 | 2008-06-13 |
| 1679633960 | Roy D Nini | Physical Medicine & Rehabilitation | 444 S San Vicente Blvd, Ste 800, Los Angeles, CA 90048-4165 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969143 | Amber Renee Debarge | Physical Medicine & Rehabilitation | 2918 Havasupai Ave, San Diego, CA 92117-1641 | 2020-03-28 |
| 1275165979 | Coastal Regenerative Orthopedics & Wellness Center Inc. | Physical Medicine & Rehabilitation | 11772 Sorrento Valley Rd Ste 100, San Diego, CA 92121-1016 | 2020-02-10 |
| 1679110407 | Drew Yoder | Physical Medicine & Rehabilitation | Chase Center - Bbops, 1 Warriors Way, San Francisco, CA 94158 | 2019-11-27 |
| 1841831864 | Olivia Carmen Smith | Physical Medicine & Rehabilitation | 2439 Country Club Dr, Glendora, CA 91741-4009 | 2019-10-01 |
| 1538719521 | Kyle Watry | Physical Medicine & Rehabilitation | 550 15th St Ste 36a, San Francisco, CA 94103-5032 | 2019-09-12 |
| 1023679826 | Adrianna Medina | Physical Medicine & Rehabilitation | 279 E Orlando Way, Covina, CA 91723-3016 | 2019-06-24 |
| 1316505563 | Restore The Machine - Physical Therapy Inc | Physical Medicine & Rehabilitation | 23332 Hawthorne Blvd Ste 202, Torrance, CA 90505-3767 | 2019-06-03 |
| 1881163889 | Gaylen Mcginn | Physical Medicine & Rehabilitation | 724 W Maple Ave Apt A, Orange, CA 92868-5022 | 2018-11-19 |
| 1326532417 | Nicolas Simo | Physical Medicine & Rehabilitation | 742 Bonnie Claire Dr, Walnut, CA 91789-4185 | 2018-06-21 |
| 1922591155 | Rahul Yogee Katbamna | Physical Medicine & Rehabilitation | 15 Lynnfield, Irvine, CA 92620-1987 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90012 |
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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.