Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Irawan Susanto, MD

Critical Care Medicine (Internal Medicine) Physician in Santa Monica, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003836610

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Registry record

Entity type Individual (Type 1)

Name Irawan Susanto

Credential MD

Sex Male

Practice address 1223 16th St, Suite 3400, Santa Monica, CA, 90404

Phone (310) 449-0939

Fax (424) 259-7790

Enumeration date Jul 20, 2006

Last updated in NPPES Feb 6, 2014

Taxonomy & licenses

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians · License C50280 (CA) Secondary

207RC0200X Critical Care Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License C50280 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
00C502800	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Irawan Susanto's NPI record?

Cross-check NPI 1003836610 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1003836610 active?

Yes, as of the latest NPPES snapshot, NPI 1003836610 is active (record last updated 2014-02-06).

Other providers at this practice address

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Gerard Frank Pulmonary Disease Physician · Santa Monica, CA NPI 1982639571 Gregory Bierer Pulmonary Disease Physician · Santa Monica, CA NPI 1154489433 Sentia Iriana Transplant Hepatology Physician · Santa Monica, CA NPI 1598008344 Alishia King Pharmacist · Santa Monica, CA NPI 1295400703

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-06.