Individual provider Active NPI

Susan J Taylor, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1205872827
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55574 Issued in CA
Practice address
4142 Adams Ave Ste 102
San Diego, CA 92116
Phone
(858) 554-1212
Fax
(858) 554-1222
NPI assigned
Jun 21, 2006
Last updated
May 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25355 TN
Family Medicine Physician 207Q00000X 55574 CA Primary

Addresses

Primary practice location

4142 Adams Ave Ste 102
San Diego, CA 92116

Mailing address

9850 Genesee Ave Ste 320
La Jolla, CA 92037-1208
Phone (858) 554-1212

Other identifiers 2

IdentifierTypeStateIssuer
080152461OtherTNRR MEDICARE PIN
3087077MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181011002119 CA Practitioner - Family Practice 7315072840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 864-9800

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55574CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. Family Medicine CurrentSince Jul 30, 2018 Accepting new patients
Regents of the University of California Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Methodist Medical Center Past Accepting new patients

Locations

1905 Calle Barcelona
Ste 211
Carlsbad, CA 92009
Phone (858) 766-6007

477 N El Camino Real
Ste A200
Encinitas, CA 92024
Phone (619) 942-1242

7855 Ivanhoe Ave
Ste 110
La Jolla, CA 92037
Phone (858) 869-0188

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

6386 Alvarado Ct
Ste 101
San Diego, CA 92120
Phone (619) 265-1237

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

12843 El Camino Real
Ste 203
San Diego, CA 92130
Phone (858) 558-0399

4142 Adams Ave
Ste 102
San Diego, CA 92116
Phone (858) 617-0717

3180 University Ave
Ste 120
San Diego, CA 92104
Phone (858) 529-7229

204 S Santa Fe Ave
Vista, CA 92084
Phone (760) 941-8888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1205872827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 320",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371208",
            "telephone_number": "858-554-1212",
            "fax_number": "858-554-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 ADAMS AVE STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92116",
            "telephone_number": "858-554-1212",
            "fax_number": "858-554-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "25355",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "55574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "080152461",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087077",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.