Susana Ertac, RN, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9601 Issued in CA

Practice address

1201 W la Veta Ave
Ste 501
Orange, CA 92868-4213

Phone

(714) 771-7994

Fax

(714) 744-4167

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Galant and Lin MD'S Inc.

  • Allergy & Immunology Physician
  • Orange, CA
  • NPI 1053332155
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265547335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 PORT WHITBY PL",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605435",
            "telephone_number": "949-706-2958",
            "fax_number": "714-744-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "address_2": "STE 501",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684213",
            "telephone_number": "714-771-7994",
            "fax_number": "714-744-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERTAC",
        "first_name": "SUSANA",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "9601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LIC",
            "identifier": "537812",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LIC",
            "identifier": "9601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric H. Pham MD Inc
• Eric J Bass
• Eric T Heyer MD PC
• Eric W. Lee, M.D., Inc
• Kristin Erickson
• Ervin P. Ruzics, M.D., Inc.
• Scott Erwin, MD
• Bianca Escamilla
• Isabella Grace Escamilla
• Leanna Escamilla, AMFT

• Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.