DR. SCOTT SU (NPI# 1043700842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043700842 |
| Entity Type | Individual |
| Full Name | DR. SCOTT SU |
| Credential | PHD |
| Practice Address |
8856 Arlington Ave Riverside CA 92503-1365 |
| Mailing Address |
19931 Hidden Springs Rd Walnut CA 91789-5322 |
| Practice Telephone | 9092475992 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
30043 | CA | Behavioral Health & Social Service Providers |
| Street Address |
8856 ARLINGTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847728 | Naomie De La Cruz-novelo | Physician Assistant | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2005-08-09 |
| 1952737033 | Denise Lynn Chapin | Nurse Practitioner | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2013-09-19 |
| 1689015430 | Christopher Y Shi | Dentist | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2013-07-09 |
| 1093074791 | Karen Vanessa Alvarenga | Dentist | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2012-05-15 |
| 1295983310 | Conrado Martinez | Physician Assistant | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2008-09-03 |
| 1497942072 | Chris Rudolph Martinez I | Dentist | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2007-09-27 |
| 1962693770 | Aida N Steele | Dentist | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2007-08-06 |
| 1528185030 | Victoria A Udeh | Nurse Practitioner | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2007-03-22 |
| 1700938891 | Community Health Systems Inc | Dentist | 8856 Arlington Ave, Riverside, CA 92503-1365 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601451 | Joshua Craig | Psychologist | 1660 Chicago Ave Ste M17, Riverside, CA 92507-2033 | 2020-08-24 |
| 1487205506 | Inland Psychiatric Medical Group, Inc. | Psychologist | 4049 Brockton Ave, Riverside, CA 92501-3440 | 2019-09-20 |
| 1427606813 | New England Center for Pediatric Psychology | Psychologist | 109 Worcester Ave, Riverside, RI 02915-3409 | 2019-08-28 |
| 1881188845 | Theodore Earl Swigart Iv | Psychologist | 5499 Grassy Trail Dr, Riverside, CA 92504-1213 | 2018-06-21 |
| 1053836445 | James Charles Husen | Psychologist | 3068 Brockton Ave, Riverside, CA 92501-2325 | 2017-08-07 |
| 1447623657 | Adrian Michelle Camargo Rubly | Psychologist | 4344 Latham St Ste 120, Riverside, CA 92501-1773 | 2015-11-10 |
| 1427424464 | Lindsay Lauren Wray | Psychologist | 5005 Canyon Crest Dr, Riverside, CA 92507-7721 | 2015-08-13 |
| 1225451685 | David Jon Eagle | Psychologist | 6719 Coral Leaf Ln, Riverside, CA 92506-6213 | 2014-01-21 |
| 1609114933 | Martha Elizabeth O'donnell | Psychologist | 153 Lockwood Rd, Riverside, CT 06878-1920 | 2013-01-22 |
| 1700181385 | Roger Sheldon Tilton | Psychologist | 7177 Brockton Ave Ste 227, Riverside, CA 92506-2633 | 2011-01-13 |
| Find all providers in RIVERSIDE | ||||
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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.