Susan Lasko, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11593 Issued in CA

Practice address

398 S Green Valley Rd
Watsonville, CA 95076-3099

Phone

(831) 724-7616

Fax

(861) 724-7438

NPI assigned

Oct 12, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1326138488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 CAYUGA ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950623622",
            "telephone_number": "831-426-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 S GREEN VALLEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763099",
            "telephone_number": "831-724-7616",
            "fax_number": "861-724-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKO",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byju Alexander Kuriakose
• Tiffany Kuwatani, PHARMD
• John Lacampagne, BCBA
• Alan Thomas Lamb, LCSW
• Maria Cristina Ricarze Landayan, D.D.S.
• Terresa Lauer
• Morgan Laumeister
• Alice Jane Lawrence, MD
• Lazer Holdings LLC
• Allison C Le, AMFT#142270

• Physician Assistant in Watsonville, CA
• Providers in Watsonville, 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 4, 2011; 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.