Susan M. Danek MD a Professional Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G080713 Issued in CA

Legal business name

SUSAN M. DANEK MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

29798 Haun Rd
Suite 302
Sun City, CA 92586-6541

Phone

(951) 301-7191

Fax

(951) 301-4160

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan M. DanekNPI 1265572499

Title

President

Phone

(951) 301-7191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Mary Danek, M.D.

  • Family Medicine Physician
  • Sun City, CA
  • NPI 1265572499
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1033307277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 302",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-7191",
            "fax_number": "951-301-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 302",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-7191",
            "fax_number": "951-301-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. DANEK MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "DANEK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-301-7191",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G080713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun City Hearing Service
• Sun City Pharmacy
• Sun City Vision Clinic
• Sun City Vision Clinic Optometry
• Superior Hearing Aid Service
• T D Nguyen, MD, Inc
• Christine Taufik
• Ellie Marian Taylor
• Technomed Homecare Inc (T H I Home Medical Equipment)
• Evelyn NA-Adjieley Tetteh-Martey, MD

• Primary Care Clinic/Center in Sun City, CA
• Providers in Sun City, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.