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CHAD SUDOKO
NPI 1366949091
Otolaryngology - Pediatric Otolaryngology in Orange, CA

Active since April 09, 2018PECOS Enrolled
1201 W LA VETA AVE, ORANGE, CA 92868(714) 509-7094(714) 953-5462 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2024, Apr 9, 2018 (2 updates tracked since 2018).

About Chad Sudoko NPPES

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

CHAD SUDOKO (NPI 1366949091) is an individual pediatric otolaryngology provider in Orange, California, licensed in California (A202425) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1366949091
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameCHAD SUDOKO
Location Address1201 W LA VETA AVEOrange, CA 92868-4203
Mailing Address1201 W La Veta AveOrange, CA 92868-4203 · (714) 509-7094 · Fax (714) 953-5462
Phone(714) 509-7094
Fax(714) 953-5462
Sole ProprietorYes
Enumeration DateApril 9, 2018
Last NPPES UpdateAugust 22, 20252 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1366949091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in CA · A202425
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License MD475150 (PA)
1201 W LA VETA AVE, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Location 1

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (215) 590-3440 · Fax (267) 425-9552

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chad Sudoko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chad Sudoko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Nittany Medical Center Health Services Inc
2,234 mi
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
NPI 1598992554 (814) 231-7000
Children's Surgical Associates Ltd
2,379 mi
Otolaryngology
3500 CIVIC CENTER BLVD
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 178 clinicians in this Medicare group
NPI 1144399825 (215) 590-3440

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

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.

TRISHA JACKSON
Social Worker
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-8521
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Neurological Surgery
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-8649
JULIAN THOMAS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-7601
DR. GEOFFREY CARSON CHENG MD
Pediatrics (Pediatric Hematology-Oncology)
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-8636
BRIANNA JOY LEYDEN
Student in an Organized Health Care Education/Training Program
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 997-3000
DR. MARNI CARMELA SWITKIN NAGEL PH.D.
Psychologist (Clinical Child & Adolescent)
1201 W LA VETA AVE, 503
ORANGE, CA 92868
Orange County (714) 532-8481
DR. DAINA DREIMANE MD
Pediatrics (Pediatric Endocrinology)
1201 W LA VETA AVE
ORANGE, CA 92868
Orange County (888) 770-2462
DR. SHARIEF KHALIL TARAMAN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1201 W LA VETA AVE, CHILDREN'S HOSPITAL OF ORANGE COUNTY, NEUROLOGY
ORANGE, CA 92868
Orange County (714) 509-7601

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 Chad Sudoko's NPI number?

The NPI number for Chad Sudoko is 1366949091. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Chad Sudoko located?

Chad Sudoko practices at 1201 W La Veta Ave, Orange, CA 92868. The listed phone number is (714) 509-7094.

What is Chad Sudoko's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Chad Sudoko enrolled in Medicare?

Yes. Chad Sudoko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chad Sudoko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Sudoko reassigns Medicare benefits to 2 organizations: Mount Nittany Medical Center Health Services Inc (State College, PA) and Children's Surgical Associates Ltd (Philadelphia, PA). Each 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 Chad Sudoko'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 Chad Sudoko was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.