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SUZIE KUNAKOFF RD
NPI 1134712748
Dietitian, Registered in Fountain Valley, CA

Active since February 15, 2021
76.74/100
CMS Quality Rating
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(877) 696-3622 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suzie Kunakoff Rd NPPES

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

SUZIE KUNAKOFF RD (NPI 1134712748) is an individual dietitian, registered in Fountain Valley, California, licensed in California (86106779) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1134712748
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSUZIE KUNAKOFFCredential: RD
Location Address17360 BROOKHURST STFountain Valley, CA 92708-3720
Mailing Address1311 Kenwood StLa Habra, CA 90631-7216
Phone(877) 696-3622
Sole ProprietorYes
Enumeration DateFebruary 15, 2021
NPPES CertifiedFebruary 15, 2021
✔ NPI 1134712748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86106779
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
17360 BROOKHURST ST, Fountain Valley, CA 92708
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzie Kunakoff Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Suzie Kunakoff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorialcare Medical Foundation
0.1 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES 20

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

DR. VINA NGUYEN M. D.
Hospitalist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-1797
DR. PAUL D SYCHANGCO M.D,
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (877) 844-0012
MARYANNE ROSE IBRAHIM M.D.
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-4614
DR. LYDIA MICHELLE SIMON PHARM.D.
Pharmacist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (657) 241-3248
XUANMAI NGUYEN
Dietitian, Registered
17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Orange County (714) 916-0881
MS. JUDY ANN PICAZO N.P.
Nurse Practitioner
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 944-1771
TANYA DANSKY M.D.
Pediatrics
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 377-2900
STACY MARIE BALDWIN FNP-BC
Nurse Practitioner (Family)
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (877) 844-0012

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 Suzie Kunakoff's NPI number?

The NPI number for Suzie Kunakoff is 1134712748. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Suzie Kunakoff located?

Suzie Kunakoff practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (877) 696-3622.

What is Suzie Kunakoff's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Suzie Kunakoff enrolled in Medicare?

Yes. Suzie Kunakoff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzie Kunakoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzie Kunakoff reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suzie Kunakoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Suzie Kunakoff was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.