DR. BRIAN SU (NPI# 1063690782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063690782 |
| Entity Type | Individual |
| Full Name | DR. BRIAN SU |
| Credential | MD |
| Practice Address |
2 Bon Air Rd Suite 120 Larkspur CA 94939-1141 |
| Practice Telephone | 4159275300 |
| Mailing Telephone | 4159275300 |
| Mailing Fax Number | 4159275242 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A109113 | CA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
237395 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326100058 | Brian Chin-jen Su | Obstetrics & Gynecology | 320 S Garfield Ave, Suite 226, Alhambra, CA 91801-3886 | 2006-12-16 |
| Street Address |
2 BON AIR RD SUITE 120 |
| City | LARKSPUR |
| State | CA |
| Zip Code | 94939-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104816917 | Margaret L. Baer | Internal Medicine | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2005-10-24 |
| 1023664869 | Chris Kane | Physical Therapist | 2 Bon Air Rd, Larkspur, CA 94939-1141 | 2019-08-16 |
| 1508139536 | Brigette Lofholm | Pharmacist | 2 Bon Air Rd, Suite 130, Larkspur, CA 94939-1141 | 2012-02-22 |
| 1164795829 | Marin Healthcare District | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2012-02-10 |
| 1598059123 | Elizabeth Neal Gonzales | Dietitian, Registered | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2011-05-31 |
| 1306156781 | Shannon Browning | Nurse Practitioner | 2 Bon Air Rd, #100, Larkspur, CA 94939-1141 | 2010-10-19 |
| 1083934301 | Kimberly Hoagland Madsen | Dietitian, Registered | 2 Bon Air Rd, Suite 130, Larkspur, CA 94939-1141 | 2010-06-09 |
| 1346571312 | Sarah M Lamb | Clinical Nurse Specialist | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2010-01-14 |
| 1629233051 | Kabir Jeewan Singh | Internal Medicine | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2008-07-24 |
| 1356546535 | California Orthopedics & Spine Inc | Specialist | 2 Bon Air Rd, Suite 120, Larkspur, CA 94939 | 2007-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| Find all providers in zip 94939 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063855567 | Jamal Shillingford | Orthopaedic Surgery | 2 Bon Air Rd Ste 120, Larkspur, CA 94939-1142 | 2013-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
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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.