Alan Arthur Susa Cantillep, MD in Fountain Valley, CA

Alan Arthur Susa Cantillep, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Fountain Valley, California. He went to Michigan State University College Of Human Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Balboa Nephrology Medical Group Inc and his current practice location is 11100 Warner Ave Ste 218, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at (714) 641-9696.

Alan Arthur Susa Cantillep is licensed to practice in California (license number A125649) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639517808.

Contact Information

	Alan Arthur Susa Cantillep, MD
	11100 Warner Ave Ste 218, Fountain Valley, CA 92708
	(714) 641-9696
	(714) 641-1211

Map and Direction

Physician's Profile

Full Name	Alan Arthur Susa Cantillep
Gender	Male
Speciality	Nephrology
Experience	13 Years
Location	11100 Warner Ave Ste 218, Fountain Valley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alan Arthur Susa Cantillep attended and graduated from Michigan State University College Of Human Medicine in 2011

NPI Data:

NPI Number: 1639517808
Provider Enumeration Date: 06/11/2013
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7911255187
Enrollment ID: I20180803000767

Medical Identifiers

Medical identifiers for Alan Arthur Susa Cantillep such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639517808	NPI	-	NPPES
A125649	Other	CA	LICENCE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A125649 (California)	Primary
207R00000X	Internal Medicine	A125649 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davita-tustin Ranch Dialysis	Tustin, CA	Dialysis facility
Davita-main Place Dialysis Center	Orange, CA	Dialysis facility
Davita-anaheim Springs Dialysis	Anaheim, CA	Dialysis facility
Fmc-rai-east First Street-tustin	Tustin, CA	Dialysis facility
Memorialcare Orange Coast Medical Center	Fountain valley, CA	Hospital
Hoag Memorial Hospital Presbyterian	Newport beach, CA	Hospital
St Joseph Hospital	Orange, CA	Hospital
Fountain Valley Regional Hospital & Medical Center	Fountain valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Balboa Nephrology Medical Group Inc	9638164015	73

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alan Arthur Susa Cantillep allows following entities to bill medicare on his behalf.

Entity Name	Balboa Nephrology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316997505 PECOS PAC ID: 9638164015 Enrollment ID: O20040415001031

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alan Arthur Susa Cantillep is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alan Arthur Susa Cantillep, MD 4225 Executive Sq Ste 450, La Jolla, CA 92037-8411 Ph: (858) 810-0000	Alan Arthur Susa Cantillep, MD 11100 Warner Ave Ste 218, Fountain Valley, CA 92708 Ph: (714) 641-9696

Reviews and Comments

Internal Medicine Doctors in Fountain Valley, CA

Dr. Kristine Suzanne Olson Arthur, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11420 Warner Ave, Fountain Valley, CA 92708 Phone: 714-549-1300 Fax: 714-433-3100
Dr. Sajeet Singh Sawhney, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708 Phone: 714-641-9696 Fax: 714-641-9696
Dr. Jennifer L Wong, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238 Fax: 714-434-8145
Dr. Sithu Lin, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 11100 Warner Ave Ste 218, Fountain Valley, CA 92708 Phone: 714-641-9696
Kien-an Duong, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11420 Warner Ave, Fountain Valley, CA 92708 Phone: 714-549-1300 Fax: 714-433-3100
Mr. Satinder Swaroop, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 11180 Warner Ave, Suite #353, Fountain Valley, CA 92708 Phone: 714-751-3540 Fax: 714-751-5626
Yu-ming Ni, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238

Alan Arthur Susa Cantillep, MD - Medicare Nephrology in Fountain Valley, CA