Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JSU MEDICAL, PC
NPI 1750068086
Urology in Santa Monica, CA

Active since June 28, 2023
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(424) 432-2304 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, May 1, 2024, Jul 7, 2023 (3 updates tracked since 2023).

About Jsu Medical, Pc NPPES

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

JSU MEDICAL, PC (NPI 1750068086) is a healthcare organization registered as an urology in Santa Monica, California and active in the NPI registry since June 2023. The organization maintains 2 additional practice locations and lists Jeannie Su, President, as its authorized official.

NPPES Registry Identity

NPI1750068086
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJSU MEDICAL, PC
Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303
Mailing Address1014 Broadway # 109Santa Monica, CA 90401-2808 · (562) 595-5977
Organization SubpartNo
Authorized OfficialJeannie SuPresident · (562) 595-5977
Enumeration DateJune 28, 2023
Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1750068086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2121 SANTA MONICA BLVD, Santa Monica, CA 90404

Secondary Practice Locations 2

Location 1701 E 28th St Ste 319Long Beach, CA 90806-2783 · Phone (562) 595-5977 · Fax (562) 485-9435
Location 22727 W Olympic Blvd Ste 210Los Angeles, CA 90006-2640 · Phone (213) 423-7979

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jsu Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jsu Medical, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1922487800
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
(310) 582-7137
✔ PECOSSame address

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

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 Jsu Medical, PC's NPI number?

The NPI number for Jsu Medical, PC is 1750068086. It was assigned to this organization in the NPPES registry on June 28, 2023.

Where is Jsu Medical, PC located?

Jsu Medical, PC is located at 2121 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (424) 432-2304.

What is Jsu Medical, PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jsu Medical, PC enrolled in Medicare?

Yes. Jsu Medical, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jsu Medical, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Jsu Medical, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jsu Medical, PC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.