Susie M. Wenstrup, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A55289 Issued in CA

Practice address

800 Delbon Ave
Turlock, CA 95382-2005

Phone

(209) 664-8000

Fax

(209) 664-8002

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susie Junko Matsuno Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Cincinnati College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livingston Community HealthGroup PAC ID 8820084692, 21 clinicians

Hospitalists of Modesto Medical Group IncGroup PAC ID 2567360027, 87 clinicians

Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Medical Center Hospital, Modesto, CA, CCN 050464
• Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (17 of 18)

Locations (25 of 30)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: susie.wenstrup.p3@direct.livingstoncommunity.nextgenshare.com

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.

• Hospitalists of Modesto Medical Group Inc

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1821190711

  CA

  Medicare reassignment Care Compare group NPD
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
  • NPI 1427110329

  CA

  Medicare reassignment Care Compare group NPD
• County of Stanislaus

  • Clinic/Center
  • Turlock, CA
  • NPI 1831394998

  CA

  Medicare reassignment NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753

  CA

  Medicare reassignment NPD
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Waterford, CA
  • NPI 1528433588
  Care Compare group NPD
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1649099151
  Care Compare group NPD
• Scenic Faculty Medical Group, Inc.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1275559411

  CA

  Medicare reassignment
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hughson, CA
  • NPI 1508408550
  Care Compare group NPD (past)
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1023650066
  Care Compare group
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hilmar, CA
  • NPI 1124300207
  Care Compare group
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
  • NPI 1487012779
  Care Compare group
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Delhi, CA
  • NPI 1730530254
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923

  Hospital

  Care Compare affiliation
• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Turlock, CA
  • NPI 1396087672

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1013020288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577197",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953577197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822005",
            "telephone_number": "209-664-8000",
            "fax_number": "209-664-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENSTRUP",
        "first_name": "SUSIE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSIE",
            "last_name": "MATSUNO",
            "middle_name": "JUNKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• We Care Program - Turlock
• Andrea Webb
• Nicole Webb, PHARM.D
• Katelyn Dawn Weeks, MS OTR/L
• Daniel E Wenberg, MD
• Leann Wesner, M.F.T.
• West Coast Podiatry Inc.
• Western Dental Services, Inc.
• Yvonne Westman
• Weston Lange

• All providers in Turlock, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.

Verify at the official NPI Registry.