Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lawrence Su

Individual provider Nurse Practitioner · NPI 1962101857

Lawrence Su is a Nurse Practitioner in Daly City, California. Qualified in 2022, 4 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023

Practice location Address checks out

333 Gellert Blvd Ste 229
Daly City, CA 94015-2660
Phone: (992) 866-8650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95023369 (CA)

Record details

NPI number1962101857
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 28, 2023
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address529 Angus Ave W, San Bruno, CA 94066-4308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Daly City