Active NPI
Susanna Byrne, D.O.
- Anesthesiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A19706
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-0004 - Phone
- (619) 532-6400
- NPI assigned
- Aug 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0102203946 | VA | |
| Anesthesiology Physician | 207L00000X | 20A19706 | CA | Primary |
| Anesthesiology Physician | 207L00000X | 81991-21 | WI |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-0004
Mailing address
2620 Boundary St
San Diego, CA 92104-5202
Phone (617) 699-2794
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of New England, College of Osteo Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (442) 281-5000
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000
Hospital & facility affiliations
- Froedtert South Inc.
- Palomar Health Downtown Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A19706 | CA | MD | Anesthesiology Physician |
| 0102203946 | VA | MD | Anesthesiology Physician |
| 81991-21 | WI | MD | Anesthesiology Physician |
| 19706 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Vituity-Wisconsin Anesthesia SC | Anesthesiology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
29980 Network Pl
Chicago, IL 60673
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
Interoperability endpoints
- sbyrne958171@direct.froedtert.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Anesthesiology Physician
- Pleasant Prairie, WI
- NPI 1821831975
-
- Anesthesiology Physician
- Escondido, CA
- NPI 1174490445
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1043242563
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Rural Health Clinic/Center
- Marshfield, WI
- NPI 1124633870
-
- Rural Health Clinic/Center
- Wisconsin Rapids, WI
- NPI 1568821122
-
- Anesthesiology Physician
- Brookfield, WI
- NPI 1558195719
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1801620067
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1003249749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 BOUNDARY ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921045202",
"telephone_number": "617-699-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921340004",
"telephone_number": "619-532-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "SUSANNA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0102203946",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A19706",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "81991-21",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.