Susan Pido, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A79630 Issued in CA

Practice address

10333 El Camino Real
Atascadero, CA 93422-5808

Phone

(805) 468-2000

NPI assigned

Jul 13, 2006

Last updated

Jun 20, 2022By the provider in NPPES

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17363/brand/1/csg/1/fhir/r4

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.

• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Community Health Center of the Central Coast Inc

  • Dental Clinic/Center
  • Santa Maria, CA
  • NPI 1902323314
  NPD (past)
• Community Health Centers of the Central Coast

  • Federally Qualified Health Center (FQHC)
  • Santa Maria, CA
  • NPI 1891925905
  NPD (past)
• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Atascadero, CA
  • NPI 1073533089
  NPD (past)
• Community Health Centers of the Central Coast Inc

  dba Community Health Centers Womens Health

  • Federally Qualified Health Center (FQHC)
  • San Luis Obispo, CA
  • NPI 1124045158
  NPD (past)
• Community Health Centers of the Central Coast Inc

  • PACE Provider Organization
  • Santa Maria, CA
  • NPI 1154202372
  NPD (past)
• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Santa Maria, CA
  • NPI 1174859425
  NPD (past)
• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • San Miguel, CA
  • NPI 1295198356
  NPD (past)
• Community Health Centers of the Central Coast Inc

  dba Community Health Centers Mobile Dental Van 3

  • Federally Qualified Health Center (FQHC)
  • Santa Maria, CA
  • NPI 1447798061
  NPD (past)
• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Templeton, CA
  • NPI 1548648801
  NPD (past)
• Community Health Centers of the Central Coast Inc

  • Federally Qualified Health Center (FQHC)
  • Santa Maria, CA
  • NPI 1629595038
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1295750511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225808",
            "telephone_number": "805-468-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDO",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1295750511",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Gregory Peterson, D.D.S.
• Marcielle Pfeifer
• Carolyn Thuy Sen Pham, DOCTOR OF PHARMACY
• Philnln, Inc
• Philnln, Inc.
• Melissa Grace Pirkle, M.A., CCC-SLP
• James Rafael Pitts, M.D.
• Amy Michelle Plewinski, PSY.D
• Bruce D Poist, RPH
• Jacquelyn Ponek

• Family Medicine Physician in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.