Su S Hline (NPI# 1174652259, PAC ID# 1153337324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1174652259 |
| PAC ID by PECOS | 1153337324 |
| Professional Enrollment ID | I20060224000352 |
| Full Name | Su S Hline |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Address |
2295 S Vineyard Ave Ontario CA 91761-7925 |
| Phone Number | 9097245000 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6002729175 |
| Number of Group Practice Members | 7666 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050140 | KAISER FOUNDATION HOSPITAL FONTANA |
| Address | Phone | Organization |
|---|---|---|
| 9961 Sierra Ave, Fontana, CA 92335-6720 | 9094275000 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 9097245000 | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Physicians | 10172 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chengjie Zheng | Ophthalmology | Southern California Permanente Medical Group | 9449 Imperial Hwy, Downey, CA 90242-2814 |
| Dong Joo Kim | Dermatology | Southern California Permanente Medical Group | 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 |
| Terese S Bergheim | Dermatology | Southern California Permanente Medical Group | 12100 Euclid St, Garden Grove, CA 92840-3304 |
| Nabeel Rashid Hameed | Family Medicine | Southern California Permanente Medical Group | 4949 Market St, Ventura, CA 93003-7851 |
| Linda Marie Silver | Clinical Social Worker | Southern California Permanente Medical Group | 2081 Palos Verdes N Dr, Lomita, CA 90717-3701 |
| Erik James Ryo Murata | Physical Therapy | Southern California Permanente Medical Group | 411 N Lakeview Ave, Anaheim, CA 92807-3028 |
| Natasha D Irving | Obstetrics/gynecology | Southern California Permanente Medical Group | 1200 Discovery Dr, Bakersfield, CA 93309-7032 |
| May Sanguanlosit | Optometry | Southern California Permanente Medical Group | 27201 Tourney Rd, Santa Clarita, CA 91355-1854 |
| Neepa Shah | Ophthalmology | Southern California Permanente Medical Group | 75036 Gerald Ford Dr, Palm Desert, CA 92211-2080 |
| Gabrielle E Brown | Dermatology | Southern California Permanente Medical Group | 18600 S Figueroa St, Gardena, CA 90248-4505 |
| Street Address |
2295 S VINEYARD AVE |
| City | ONTARIO |
| State | CA |
| Zip | 91761-7925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharath Elias Reniguntala | Family Medicine | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Philip P Luu | Interventional Radiology | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Todd A Westra | Family Medicine | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Blanca E Viramontes | Internal Medicine | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Paymon Mesgarzadeh | Internal Medicine | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Shu Zhang | Anesthesiology | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Michael B Lee | Neurology | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Narmisha Patel | Internal Medicine | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Silas C Chiu | Emergency Medicine | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Jose Kadry | Certified Registered Nurse Anesthetist (crna) | Southern California Permanente Medical Group | 2295 S Vineyard Ave, Ontario, CA 91761-7925 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dhaval H Patel | Psychiatry | Southern California Permanente Medical Group | 3330 Centre Lake Dr, Ontario, CA 91761-1211 |
| Imran Shafi | Psychiatry | Southern California Permanente Medical Group | 3330 Centre Lake Dr, Ontario, CA 91761-1211 |
| Esmeralda Garcia | Clinical Social Worker | Southern California Permanente Medical Group | 3330 Centre Lake Dr, Ontario, CA 91761-1211 |
| Manisha Shenava | Geriatric Psychiatry | Southern California Permanente Medical Group | 3330 Centre Lake Dr, Ontario, CA 91761-1211 |
| Steve S Shin | Orthopedic Surgery | Southern California Permanente Medical Group | 3330 Centre Lake Dr, Ontario, CA 91761-1211 |
| Irina N Filip | Psychiatry | Southern California Permanente Medical Group | 3330 Centre Lake Dr, Ontario, CA 91761-1211 |
| Arturo Palacios | Clinical Social Worker | Southern California Permanente Medical Group | 3330 Centre Lake Dr, Ontario, CA 91761-1211 |
| Vincent D Brock | Clinical Social Worker | Southern California Permanente Medical Group | 3330 Centre Lake Dr, Ontario, CA 91761-1211 |
| Arvind K Mathur | Internal Medicine | 4295 Jurupa St, Suite 117, Ontario, CA 91761-1430 | |
| Ryan E Zane | Family Medicine | County of San Bernardino | 150 E Holt Blvd, Fl 3, Ontario, CA 91761-1613 |
| Find all physicians in zip 91761 | |||
| City | ONTARIO |
| Zip Code | 91761 |
| Specialty | NEPHROLOGY |
| City + Specialty | ONTARIO + NEPHROLOGY |
Please comment or provide details below to improve the information on Su S Hline.
| 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.