Susan Price Keefauver, MD

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

G063453 Issued in CA

Practice address

525 Via Vaquero Norte
San Juan Bautista, CA 95045-9590

Phone

(831) 623-1000

NPI assigned

Dec 29, 2010

Last updated

Dec 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1144524448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "SAN JUAN BAUTISTA",
            "state": "CA",
            "postal_code": "950450849",
            "telephone_number": "831-623-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VIA VAQUERO NORTE",
            "city": "SAN JUAN BAUTISTA",
            "state": "CA",
            "postal_code": "950459590",
            "telephone_number": "831-623-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFAUVER",
        "first_name": "SUSAN",
        "middle_name": "PRICE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G063453",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "G063453",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "G063453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emiliano Cyrus Esparza
• Marta Fajardo Gorelik, MD
• Hazel Hawkins Memorial Hospital (Hazel Hawkins Health Clinic)
• Aaron Thomas Hughes, D.C.
• Tyler Quinn Jordan, EMT
• Cecilia Ramos Kret, PT
• Ana Sofia Lopez
• Marcus Machado
• Maria Alejandra Quintero-Leier
• Michael Sepulveda, MD

• Clinical Neurophysiology Physician in San Juan Bautista, CA
• Providers in San Juan Bautista, CA by specialty
• Clinical Neurophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.