DR. SUMA RAJU (NPI# 1710177670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710177670 |
| Entity Type | Individual |
| Full Name | DR. SUMA RAJU |
| Credential | M.D. |
| Practice Address |
1520 San Pablo St Suite 1000 Los Angeles CA 90033-5310 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-1309 |
| Practice Telephone | 3234425100 |
| Mailing Telephone | 3234425100 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2011-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A100837 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A100837 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP MEDICAL | GR0100430 | 01 |
| CA | GROUP NPI | 1902846306 | 01 |
| CA | GROUP MEDICARE | W18762 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528561446 | Suma Raju | Registered Nurse | 777 Seaview Ave, Staten Island, NY 10305-3409 | 2018-03-16 |
| 1336280130 | Suma Nandakumar Raju | Pediatrics | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2007-02-12 |
| Street Address |
1520 SAN PABLO ST SUITE 1000 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798765 | Usc Ppa, Inc. | Psychologist | 1520 San Pablo St, Ste 4100, Los Angeles, CA 90033-5316 | 2005-05-24 |
| 1922612126 | Cyryl R Celiz | Nurse Practitioner | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2020-09-04 |
| 1750995478 | Kathleen Kay Rosario | Nurse Practitioner | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2020-08-31 |
| 1154933281 | Joshua Tobe | Pain Medicine | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2020-08-19 |
| 1710484993 | Matthew Joseph Ashbrook | Surgery | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2018-04-12 |
| 1306377791 | Graham Dickey Hopkins Ungerleider | Student in an Organized Health Care Education/Training Program | 1520 San Pablo St, Suite 4300, Los Angeles, CA 90033-5310 | 2017-03-27 |
| 1740728344 | Michelle Kim | Surgery | 1520 San Pablo St, Hct 4300, Los Angeles, CA 90033-5310 | 2017-02-03 |
| 1144763095 | Demetrios Nectarios Mallios | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1520 San Pablo St, Health Consultation Ceneter II, Suite 4300, Los Angeles, CA 90033-5310 | 2016-11-27 |
| 1952843757 | Louis Zhang | Surgery | 1520 San Pablo St, Hct 4300, Los Angeles, CA 90033-5310 | 2016-11-09 |
| 1801246095 | Evan Alicuben | Surgery | 1520 San Pablo St, Hct 4300, Los Angeles, CA 90033-5310 | 2016-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619452869 | Kristel Padua Dongallo | Internal Medicine | 1701 Cesar Chavez Ave., Suite 536, Los Angeles, CA 90033 | 2018-10-03 |
| 1487033353 | Los Angeles Kidney Center, A Professional Medical Corporation | Internal Medicine | 1717 Malcolm Ave, Ph 1, Los Angeles, CA 90024-6824 | 2015-05-26 |
| 1841639622 | Anthony Sebastian Montuno | Internal Medicine | 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 | 2013-06-14 |
| 1013351790 | Hong Thi Thanh Dang | Internal Medicine | 4733 W. Sunset Blvd 3rd Floor, Kaiser Permanente Southern California, Los Angeles, CA 90027 | 2013-04-24 |
| 1548574056 | La Familia Medical Group, Inc. | Internal Medicine | 6433 Whittier Blvd, Los Angeles, CA 90022-4627 | 2010-07-27 |
| 1053636977 | Theresa Nilson Henke | Internal Medicine | 8635 W 3rd St Ste 1195w, Los Angeles, CA 90048-6146 | 2010-04-03 |
| 1790014090 | Hira L Jindal M D Inc | Internal Medicine | 711 W College St Ste 590, Los Angeles, CA 90012-1256 | 2009-12-15 |
| 1619175718 | Huma Syeda Hasnain | Internal Medicine | 700 Tiverton Ave, 7-155 Factor Bldg, Los Angeles, CA 90095-8361 | 2007-07-10 |
| 1932237013 | Peter H. Lee | Internal Medicine | 4220 W 3rd St Ste 203, Los Angeles, CA 90020-3450 | 2007-03-01 |
| 1275668733 | Andrew Jay Lewin | Internal Medicine | 2010 Wilshire Blvd Ste 302, Los Angeles, CA 90057-3550 | 2007-02-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on DR. SUMA RAJU.
| 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.