Suzanne Freesemann, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12644 Issued in CA

Practice address

2720 N Harbor Blvd Ste 300
Fullerton, CA 92835-2627

Phone

(714) 879-9936

NPI assigned

Mar 21, 2007

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

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Skincare Physician Assistant Corporation PacGroup PAC ID 3173938636, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Advanced Skincare Physician Assistant Corporation (Pac)

  • Physician Assistant
  • Fullerton, CA
  • NPI 1245830389
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1285750430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD STE 300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352627",
            "telephone_number": "714-879-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD STE 300",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352627",
            "telephone_number": "714-879-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESEMANN",
        "first_name": "SUZANNE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Fraser
• Karina Frazelle, SUDRC #12581
• Free at Heart Online Therapy Licensed Clinical Social Worker PC
• Julia Freeland
• Morgan Freeman
• Fresenius Medical Care Orange County, LLC
• Howard Friedberg, M.D.
• Friends Hospice and Palliative Care
• Fruitful Therapy, Inc
• Christopher Fry

• Physician Assistant in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.