Provider Type Icon

MR. TAEMIN SURH P.A.-C. NPI 1558385039


NPI Information

NPI: 1558385039
Provider Name: MR. TAEMIN SURH, P.A.-C.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2900 WHIPPLE AVE
SUITE140
REDWOOD CITY, CA
ZIP 94062
Phone: (650) 261-2366
Get Directions

MR. Taemin Surh, P.A.-C. is a surgical physician assistant in Redwood City, CA with 38 years of experience. MR. Taemin Surh, P.A.-C. NPI is 1558385039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 WHIPPLE AVE
SUITE140
REDWOOD CITY, CA
ZIP 94062-843
Phone: (650) 261-2366
Fax: (650) 261-2369

The NPI 1558385039 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA11966CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10PA119663MEDICARE PINCALIFORNIA
2ZZZ02406ZMEDICARE PINCALIFORNIA
30PA119661MEDICARE PINCALIFORNIA
4GR0052800MEDICAIDCALIFORNIA
5ZZZ05047ZMEDICARE PINCALIFORNIA
6ZZZ23469ZMEDICARE PINCALIFORNIA
7CP2153OTHERCALIFORNIARAILROAD MEDICARE
80PA119662MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.