Individual provider Active NPI

Susan Mary Danek, M.D.

  • Family Medicine Physician
  • Sun City, CA
National Provider Identifier
1265572499
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G080713 Issued in CA
Practice address
29798 Haun Rd
Suite 302
Sun City, CA 92586-6541
Phone
(951) 301-7191
Fax
(951) 301-4160
NPI assigned
Feb 7, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G080713 CA Primary

Addresses

Primary practice location

29798 Haun Rd
Suite 302
Sun City, CA 92586-6541

Mailing address

29798 Haun Rd
Suite 302
Sun City, CA 92586-6541
Phone (951) 301-7191

Other names 1

  • Mrs. Susan Mary Tafoya Other 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071031000523 CA Practitioner - Family Practice 0547357089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29798 Haun Rd
Sun City, CA 92586-6542
Phone (951) 301-7191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G080713CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan M. Danek MD a Professional Medical Corporation Family Medicine CurrentSince Aug 1, 2007 Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

29798 Haun Rd
Ste 302
Sun City, CA 92586
Phone (901) 301-7191

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1265572499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 302",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-7191",
            "fax_number": "951-301-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 302",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-301-7191",
            "fax_number": "951-301-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANEK",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G080713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "TAFOYA",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sun City, CA

Sources for this page

Verify at the official NPI Registry.