SURESHNI SURENDRANATHAN (PA-C) – Physician Assistant, NPI 1306579156

SURESHNI SURENDRANATHAN (PA-C) is a healthcare provider. based in Alhambra, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 6205 (CT). The NPI Number for SURESHNI SURENDRANATHAN (PA-C) is 1306579156

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SURESHNI SURENDRANATHAN (PA-C)
NPI
1306579156
Phone
(626) 457-4240
Address
1000 S FREMONT AVE BLDG A-11
Enumeration Date
7 July 2022
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6268988000
Graduation Year
2023 (3 years ago)
PAC ID
6709229990
Group Practice PAC ID
0446157747
Professional Enrollment ID
I20241015004122
Address ID
CA910073402AR300XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for SURESHNI SURENDRANATHAN (PA-C)

  • 1000 S FREMONT AVE BLDG A-11

    ALHAMBRA, CA 918038800

    Phone: (626) 457-4240

    Type: Location

  • 326 N 2ND ST APT D

    ALHAMBRA, CA 918012331

    Phone: (626) 506-3594

    Type: Mailing

  • 34 MAPLE ST

    NORWALK, CT 068503894

    Phone: (203) 852-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Davol Inc. ($106).

Total Amount

$141

General + Research + Ownership

Payments

2

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$106
Organon LLC$35
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240205001833IPhysician AssistantCTTBD
I20241015004122IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91803)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446157747View full group profile
NameSpecialtyState
-CA
U R O L O G YCA
Diagnostic RadiologyNY
Diagnostic RadiologyCA
-CA
-CA
H E M A T O L O G Y/ O N C O L O G YCA
General SurgeryCA
Certified Registered Nurse Anesthetist (Crna)CA
-CA

Reviews

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Frequently asked questions

What number should I use to identify SURESHNI SURENDRANATHAN (PA-C) for billing?
Administrative and clinical systems typically use NPI 1306579156 for SURESHNI SURENDRANATHAN (PA-C).
Is SURESHNI SURENDRANATHAN (PA-C)'s NPI status active today?
Active status means SURESHNI SURENDRANATHAN (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say SURESHNI SURENDRANATHAN (PA-C) does?
Insurance directories may phrase it differently, but here SURESHNI SURENDRANATHAN (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit SURESHNI SURENDRANATHAN (PA-C) in Alhambra, California?
For routing, start with Alhambra, California for SURESHNI SURENDRANATHAN (PA-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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