Active NPI
Susan Rider Harlan, MD, MPH
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A109961
- Practice address
- 1500 San Pablo St FL 2
Los Angeles, CA 90033 - Phone
- (323) 442-8541
- Fax
- (323) 442-8755
- NPI assigned
- Aug 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A109961 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St FL 2
Los Angeles, CA 90033
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541
Other practice location 1
4650 W Sunset Blvd
Ms 81
Los Angeles, CA 90027-6062
Phone (323) 361-7845
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109961 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Children'S Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients | |
| Glendora Radiological Assoc Inc | Diagnostic Radiology | Current | Accepting new patients |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients | |
| Usc Verdugo Hills Hospital, LLC | Past | Accepting new patients | |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Children'S Hospital Los Angeles | Past | Accepting new patients | |
| Keck Medical Center of Usc | Past | Accepting new patients |
Locations
210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580
250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541
4650 W Sunset Blvd
#81
Los Angeles, CA 90027
Phone (323) 361-3033
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
- Diagnostic Radiology Physician
- Covina, CA
- NPI 1992797070
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
Diagnostic Radiology
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1265875207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1306093158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-8541",
"fax_number": "323-442-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST FL 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-442-8541",
"fax_number": "323-442-8755"
}
],
"practiceLocations": [
{
"address_1": "4650 W Sunset Blvd",
"address_2": "MS 81",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276062",
"country_code": "US",
"telephone_number": "323-361-7845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARLAN",
"first_name": "SUSAN",
"middle_name": "RIDER",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-23",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A109961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.