PATRICK SU D.O.
NPI 1124409719
Internal Medicine in Fullerton, CA

Active since June 09, 2015PECOS EnrolledAccepts Medicare Assignment
1950 SUNNY CREST DR, FULLERTON, CA 92835(714) 992-3969 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, Sep 8, 2022 (2 updates tracked since 2022).

About Patrick Su D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICK SU D.O. (NPI 1124409719) is an individual internal medicine provider in Fullerton, California, licensed in California (20A18765) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1124409719
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePATRICK SUCredential: D.O.
Location Address1950 SUNNY CREST DRFullerton, CA 92835-3638
Mailing Address1950 Sunny Crest DrFullerton, CA 92835-3638 · (714) 992-3969
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2015
Enumeration DateJune 9, 2015
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
NPI 1124409719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · 20A18765 Licensed in CO · TL.0005718
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1950 SUNNY CREST DR, Fullerton, CA 92835

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Patrick Su D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799092367
PECOS Enrollment IDI20210923000584
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
183 services178 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1950 SUNNY CREST DR, SUITE 2800 MEDICAL CENTER FOR WOMEN
FULLERTON, CA 92835
Obstetrics & Gynecology
1950 SUNNY CREST DR, SUITE 2800 MEDICAL CENTER FOR WOMEN
FULLERTON, CA 92835
Obstetrics & Gynecology
1950 SUNNY CREST DR, SUITE 2800 MEDICAL CENTER FOR WOMEN
FULLERTON, CA 92835
Obstetrics & Gynecology (Gynecologic Oncology)
1950 SUNNY CREST DR, SUITE 2800 MEDICAL CENTER FOR WOMEN
FULLERTON, CA 92835
Physician Assistant (Surgical)
1950 SUNNY CREST DR, SUITE 2600
FULLERTON, CA 92835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Su's NPI number?

The NPI number for Patrick Su is 1124409719. It was assigned to this individual provider in the NPPES registry on June 9, 2015.

Where is Patrick Su located?

Patrick Su practices at 1950 Sunny Crest Dr, Fullerton, CA 92835. The listed phone number is (714) 992-3969.

What is Patrick Su's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patrick Su enrolled in Medicare?

Yes. Patrick Su is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patrick Su was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.