Frederick Y Su (NPI# 1346506110, PAC ID# 0941501258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1346506110 |
| PAC ID by PECOS | 0941501258 |
| Professional Enrollment ID | I20161024001018 |
| Full Name | Frederick Y Su |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Address |
8247 E Stockton Blvd Sacramento CA 95828-8200 |
| Phone Number | 9164785000 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 8921910225 |
| Number of Group Practice Members | 6775 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8247 E Stockton Blvd, Sacramento, CA 95828-8200 | 9164785000 | PERMANENTE MEDICAL GROUP INC |
| Organization Legal Name | PERMANENTE MEDICAL GROUP INC |
| Physicians | 9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Kailean Mchugh | Otolaryngology | Permanente Medical Group Inc | 7300 Wyndham Dr, Sacramento, CA 95823-4913 |
| Catherine J. Choi | Ophthalmology | Permanente Medical Group Inc | 320 Lennon Ln, Walnut Creek, CA 94598-2419 |
| Justin M Leazenby | Psychologist, Clinical | Permanente Medical Group Inc | 800 Sereno Dr, Vallejo, CA 94589-2411 |
| Crissy A Bankston | Psychologist, Clinical | Permanente Medical Group Inc | 3454 Hillcrest Ave, Antioch, CA 94531-8238 |
| Frank W Lien | Family Medicine | Permanente Medical Group Inc | 1190 Veterans Blvd, Redwood City, CA 94063-2037 |
| Mona Collado Ferrer-kaw | Psychiatry | Permanente Medical Group Inc | 111 Smith Ranch Rd, San Rafael, CA 94903-1939 |
| Matthew J Holland | Psychologist, Clinical | Permanente Medical Group Inc | 1761 Broadway St, Vallejo, CA 94589-2226 |
| Shawn M Youngs | Family Medicine | Permanente Medical Group Inc | 10305 Promenade Pkwy, Elk Grove, CA 95757-9400 |
| Kristin G Leach | Family Medicine | Permanente Medical Group Inc | 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 |
| Valerie M Tiscareno | Qualified Audiologist | Permanente Medical Group Inc | 15 Southgate Ave, Daly City, CA 94015-1413 |
| Street Address |
8247 E STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip | 95828-8200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra M Sampaio | Clinical Social Worker | Permanente Medical Group Inc | 8247 E Stockton Blvd, Sacramento, CA 95828-8200 |
| Kirill V Berejnoi | Family Medicine | Permanente Medical Group Inc | 8247 E Stockton Blvd, Sacramento, CA 95828-8200 |
| Cleo A Arnold | Clinical Psychologist | Permanente Medical Group Inc | 8247 E Stockton Blvd, Sacramento, CA 95828-8200 |
| City | SACRAMENTO |
| Zip Code | 95828 |
| Specialty | PSYCHIATRY |
| City + Specialty | SACRAMENTO + PSYCHIATRY |
Please comment or provide details below to improve the information on Frederick Y Su.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.