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MONICA SU MD INC
NPI 1881074300
General Practice in Newbury Park, CA

Active since June 01, 2015
1000 NEWBURY RD, STE 115, NEWBURY PARK, CA 91320(805) 375-1633(805) 955-9966 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Monica Su Md Inc NPPES

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

MONICA SU MD INC (NPI 1881074300) is a healthcare organization registered as a general practice in Newbury Park, California and active in the NPI registry since June 2015. The organization lists Lisa Ann Vanessen, Insurance Administrator, as its authorized official.

NPPES Registry Identity

NPI1881074300
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMONICA SU MD INC
Location Address1000 NEWBURY RD, STE 115Newbury Park, CA 91320-6435
Mailing Address1000 Newbury Rd, Ste 115Newbury Park, CA 91320-6435 · (805) 375-1633 · Fax (805) 955-9966
Phone(805) 375-1633
Fax(805) 955-9966
Organization SubpartNo
Authorized OfficialLisa Ann VanessenInsurance Administrator · (805) 955-9990
Enumeration DateJune 1, 2015
Last NPPES UpdateAugust 31, 2015
✔ NPI 1881074300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A134489
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1000 NEWBURY RD, Newbury Park, CA 91320
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Other Identifiers 1

Medicare PINA134489CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica Su Md Inc 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 Monica Su MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Monica Su, MD
Family Practice
NPI 1396090379
1000 NEWBURY RD 115
Newbury Park, CA 91320
(805) 375-1611
✔ PECOS✔ Accepts MedicareSame 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 Monica Su MD Inc's NPI number?

The NPI number for Monica Su MD Inc is 1881074300. It was assigned to this organization in the NPPES registry on June 1, 2015.

Where is Monica Su MD Inc located?

Monica Su MD Inc is located at 1000 Newbury Rd Ste 115, Newbury Park, CA 91320. The listed phone number is (805) 375-1633.

What is Monica Su MD Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Monica Su MD Inc enrolled in Medicare?

Yes. Monica Su MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Monica Su MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Monica Su MD Inc. 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 Monica Su MD Inc was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.