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LAWRENCE SU
NPI 1962101857
Nurse Practitioner in Daly City, CA

Active since February 28, 2023PECOS EnrolledAccepts Medicare Assignment
333 GELLERT BLVD STE 229, DALY CITY, CA 94015(992) 866-8650 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lawrence Su NPPES

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

LAWRENCE SU (NPI 1962101857) is an individual nurse practitioner in Daly City, California, licensed in California (95023369) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962101857
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameLAWRENCE SU
Location Address333 GELLERT BLVD STE 229Daly City, CA 94015-2660
Mailing Address529 Angus Ave WSan Bruno, CA 94066-4308 · (415) 999-8322
Phone(992) 866-8650
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1962101857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95023369
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
333 GELLERT BLVD STE 229, Daly City, CA 94015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lawrence 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 ID8022455591
PECOS Enrollment IDI20240319003566
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lawrence Su's NPI number?

The NPI number for Lawrence Su is 1962101857. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Where is Lawrence Su located?

Lawrence Su practices at 333 Gellert Blvd Ste 229, Daly City, CA 94015. The listed phone number is (992) 866-8650.

What is Lawrence Su's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lawrence Su enrolled in Medicare?

Yes. Lawrence 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.

When was this NPI record last updated?

The NPPES record for Lawrence Su was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.