DR. THOMAS T. SU (NPI# 1346417276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346417276 |
| Entity Type | Individual |
| Full Name | DR. THOMAS T. SU |
| Credential | M.D., PH.D. |
| Practice Address |
633 N Central Ave Suite 305 Glendale CA 91203-1801 |
| Mailing Address |
Po Box 629 Pasadena CA 91102-0629 |
| Practice Telephone | 8182447281 |
| Practice Fax Number | 8182445912 |
| Mailing Telephone | 3105285199 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2013-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A94221 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194050484 | Thomas Y Su | Internal Medicine | 6319 Memorial Hwy, Tampa, FL 33615-4537 | 2009-10-05 |
| Street Address |
633 N CENTRAL AVE SUITE 305 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249539 | Michael Tahery | Specialist | 633 N Central Ave, Suite 309, Glendale, CA 91203-1801 | 2005-07-19 |
| 1881008605 | Clarisse Atakhanian Dds Inc | Dentist | 633 N Central Ave, 205, Glendale, CA 91203-1801 | 2014-06-19 |
| 1356761266 | Wan Fong Lau | Nurse Practitioner | 633 N Central Ave, #105, Glendale, CA 91203-1801 | 2014-04-17 |
| 1598181760 | James Richard Trinity | Dentist | 633 N Central Ave, Ste208, Glendale, CA 91203-1801 | 2014-03-12 |
| 1366610008 | Matt Michaels, M.s. | Audiologist | 633 N Central Ave, Suite 201, Glendale, CA 91203-1801 | 2008-02-15 |
| 1992986012 | Armineh Abedian | Pharmacy Technician | 633 N Central Ave, Rileys Pharmacy #100, Glendale, CA 91203 | 2007-11-16 |
| 1154528081 | James R. Trinity, Dds | Dentist | 633 N Central Ave, Suite 208, Glendale, CA 91203-1801 | 2007-07-03 |
| 1265651046 | Thomas Michael Higgins | Audiologist | 633 N Central Ave, Suite 106, Glendale, CA 91203-1809 | 2007-04-24 |
| 1801917547 | Carissa Bennett, Aud, Inc | Audiologist | 633 N Central Ave, Suite #201, Glendale, CA 91203-1801 | 2007-04-02 |
| 1336279710 | Mark Mendez De Leon | Dentist | 633 N Central Ave, Suite 203, Glendale, CA 91203 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1801103114 | Oshin Bojalian, M.d. A Medical Corporation | Dermatology | 633 N Central Ave Ste 310, Glendale, CA 91203-1821 | 2010-09-08 |
| 1417279068 | Ryan A. Stevens | Dermatology | 18699 N 67th Ave Ste 220, Glendale, AZ 85308 | 2010-02-24 |
| 1164570180 | Justine Hyoju Park | Dermatology | 435 Arden Ave Ste 435, Glendale, CA 91203-4044 | 2007-01-08 |
| 1558457143 | Han N Lee | Dermatology | 435 W Arden Ave, #435, Glendale, CA 91203-4044 | 2006-10-04 |
| 1811095342 | Carmen S Balding | Dermatology | 375 W. River Woods Prkwy, Glendale, WI 53212 | 2006-09-20 |
| 1356454557 | Donny Mehrabi | Dermatology | 1505 Wilson Ter Ste 240, Glendale, CA 91206-4033 | 2006-08-15 |
| 1821047283 | James Edward Berman | Dermatology | 7040 N Port Washington Rd, Suite 404, Glendale, WI 53217-3885 | 2006-05-10 |
| 1275506081 | Thorsteinn Skulason | Dermatology | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 | 2006-02-10 |
| 1104810720 | James Frederick Pehoushek | Dermatology | 6320-a W Union Hills Dr., Ste 100, Glendale, AZ 85308-1051 | 2005-09-09 |
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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.