Individual ProviderGerald SuginoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26732 Crown Valley Pkwy Ste 170, Mission Viejo, CA 92691-6337(949) 365-2444PECOS EnrollmentBased on the most recent information from CMS, provider Gerald Sugino is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1427036284Provider TypeIndividualFull NameSugino, GeraldCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date1/3/2006Last Updated11/10/2021Contact InformationPractice LocationPractice Address26732 Crown Valley Pkwy Ste 170, Mission Viejo, CA 92691-6337Phone(949) 365-2444Fax(949) 365-2356Mailing LocationMailing Address26732 Crown Valley Pkwy Ste 170, Mission Viejo, CA 92691-6337Phone(949) 365-2444Fax(949) 365-2356Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG50977CaliforniaProvider IdentifiersIDDescriptionIssuerID00G509770DescriptionMedicaidIssuerUnlistedCalifornia