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JONATHAN SU
NPI 1801391123
Pediatrics - Pediatric Cardiology in Los Angeles, CA

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 300, LOS ANGELES, CA 90095(310) 267-7667(310) 825-9524 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2025, Jul 9, 2024, Jul 3, 2024 and 1 more (4 updates tracked since 2018).

About Jonathan Su NPPES

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

JONATHAN SU (NPI 1801391123) is an individual pediatric cardiology provider in Los Angeles, California, licensed in California (A163948) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801391123
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJONATHAN SU
Location Address200 UCLA MEDICAL PLZ STE 300Los Angeles, CA 90095-5724
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 267-7667
Fax(310) 825-9524
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateJune 16, 20264 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1801391123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in CA · A163948
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
200 UCLA MEDICAL PLZ STE 300, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Su 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 ID244741882
PECOS Enrollment IDI20250619000937
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 Reassignment

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

Uc Regents
Same address
Pediatrics
200 UCLA MEDICAL PLAZA, SUITE 265
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 323 clinicians in this Medicare group
NPI 1982667663 (310) 825-0867

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 Jonathan Su's NPI number?

The NPI number for Jonathan Su is 1801391123. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Jonathan Su located?

Jonathan Su practices at 200 Ucla Medical Plz Ste 300, Los Angeles, CA 90095. The listed phone number is (310) 267-7667.

What is Jonathan Su's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jonathan Su enrolled in Medicare?

Yes. Jonathan 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.

Which organization bills Medicare for Jonathan Su's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Su reassigns Medicare benefits to Uc Regents (Los Angeles, 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 Jonathan Su'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 Jonathan Su was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.