| Frederica Nina Su | |
|
1000 Newbury Rd Ste 115 Newbury Park CA 91320-6436 | |
| (805) 375-1611 | |
| Not Available |
| Full Name | Frederica Nina Su |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 Newbury Rd Ste 115, Newbury Park, California |
| Authorized Official Name and Position | Frederica Su (MD) |
| Authorized Official Contact | 8053751611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederica Nina Su 1000 Newbury Rd Ste 115 Newbury Park CA 91320-6436 Ph: (805) 375-1611 | Frederica Nina Su 1000 Newbury Rd Ste 115 Newbury Park CA 91320-6436 Ph: (805) 375-1611 |
| NPI Number | 1821799891 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 03/15/2023 |
| Medicare PECOS PAC ID | 4587191812 |
|---|---|
| Medicare Enrollment ID | O20241226001852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821799891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frederica Nina Su |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811417173 PECOS PAC ID: 6305373630 Enrollment ID: I20241226001930 |
Gje Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5159 Via El Molino, Newbury Park, CA 91320 Phone: 646-734-2585 Fax: 805-426-8649 | |
Oaks Internal Medicine, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3295 Old Conejo Road, Suite 201, Newbury Park, CA 91320 Phone: 805-375-6000 Fax: 805-375-0011 | |
Diane Li Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Newbury Rd, Suite 115, Newbury Park, CA 91320 Phone: 805-490-8390 | |
Prestige Medical Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Newbury Rd, Ste. 130, Newbury Park, CA 91320 Phone: 805-214-3122 Fax: 805-214-3129 | |
Newbury Park Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2080 Newbury Rd, Newbury Park, CA 91320 Phone: 805-499-0308 | |
Peter Low Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Newbury Rd, Suite 115, Newbury Park, CA 91320 Phone: 805-375-1611 | |
Children's Total Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Ramona Dr, Newbury Park, CA 91320 Phone: 805-660-0928 |