Individual provider Active NPI

Susi Garay Zecena, RN, BSN, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fallbrook, CA
National Provider Identifier
1053789446
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95031588 Issued in CA
Practice address
855 S Main Ave Ste K
Fallbrook, CA 92028-3351
Phone
(310) 701-7624
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95141591 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95031588 CA Primary

Addresses

Primary practice location

855 S Main Ave Ste K
Fallbrook, CA 92028-3351

Mailing address

855 S Main Ave Ste K
Fallbrook, CA 92028-3351
Phone (310) 701-7624

Other names 1

  • Susi Zecena Ortiz Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130004174 CA Practitioner - Nurse Practitioner 2668901927 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95031588CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Operation Samahan Inc CurrentSince Oct 10, 2025 Accepting new patients
Operation Samahan, Inc CurrentSince Nov 25, 2024 Accepting new patients
Operation Samahan, Inc. PastSince Jul 22, 2025 Accepting new patients

Locations

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

9995 Carmel Mountain Rd
Ste B10
San Diego, CA 92129

9995 Carmel Mountain Rd
Ste B1011
San Diego, CA 92129

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1053789446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S MAIN AVE STE K",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283351",
            "telephone_number": "310-701-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S MAIN AVE STE K",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283351",
            "telephone_number": "310-701-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAY ZECENA",
        "first_name": "SUSI",
        "credential": "RN, BSN, MSN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95141591",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95031588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSI",
            "last_name": "ZECENA ORTIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.