Active NPI
Suzanne Kerley
- Plastic Surgery Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G52606
- Practice address
- 2911 Chanticleer Ave
Santa Cruz, CA 95065-1815 - Phone
- (831) 477-2350
- NPI assigned
- Jan 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G52606 | CA | Primary |
Addresses
Primary practice location
2911 Chanticleer Ave
Santa Cruz, CA 95065-1815
Mailing address
PO Box 1833
Santa Cruz, CA 95061-1833
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Washington University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Chanticleer Ave
Santa Cruz, CA 95065-1816
2950 Research Park Dr
Soquel, CA 95073-2000
Phone (831) 458-5548
550 S Green Valley Rd
Watsonville, CA 95076-3053
Phone (831) 458-5865
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52606 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Santa Cruz Medical Clinic, Inc | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
795 El Camino Real
#1112
Palo Alto, CA 94301
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2025 Soquel Ave
Santa Cruz, CA 95062
Phone (408) 423-4111
2911 Chanticleer Ave
Santa Cruz, CA 95065
Phone (831) 477-2350
2950 Research Park Dr
Soquel, CA 95073
Phone (831) 458-5548
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- skerley34519@hisp.ehr.sutterhealth.org
Organizations & group practices 7
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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Sutter Pacific Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
dba Santa Cruz Medical Clinic
- Family Medicine Physician
- Santa Cruz, CA
- NPI 1588775308
-
dba Sutter Maternity & Surgery Center of Santa Cruz
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1689035628
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Maternity & Surgery Center of Santa Cruz
- General Acute Care Hospital
- Santa Cruz, CA
- NPI 1689035628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1043290828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1833",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950611833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 CHANTICLEER AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651815",
"telephone_number": "831-477-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERLEY",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G52606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.