Active NPI
Suzette Balwing Crumley, PHARM.D.
- Pharmacist
- San Diego, CA
National Provider Identifier
1326348806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- CA59203
- Practice address
- 7788 Regents Rd
San Diego, CA 92122 - Phone
- (858) 455-6340
- Fax
- (858) 455-1764
- NPI assigned
- Oct 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16966 | NV | |
| Pharmacist | 183500000X | CA59203 | CA | Primary |
Addresses
Primary practice location
7788 Regents Rd
San Diego, CA 92122
Mailing address
7788 Regents Rd
San Diego, CA 92122
Phone (858) 455-6340
Other names 1
- Suzette Balwing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA59203 | CA | MD | Pharmacist |
| 16966 | NV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vons Companies Inc | Past | Accepting new patients | |
| Vons Companies Inc | Past | Accepting new patients | |
| Vons Companies Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- San Diego, CA
- NPI 1164451118
-
- Community/Retail Pharmacy
- Santa Monica, CA
- NPI 1720879919
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1518996545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1326348806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7788 REGENTS RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92122",
"telephone_number": "858-455-6340",
"fax_number": "858-455-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7788 REGENTS RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92122",
"telephone_number": "858-455-6340",
"fax_number": "858-455-1764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMLEY",
"first_name": "SUZETTE",
"middle_name": "BALWING",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16966",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "CA59203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZETTE",
"last_name": "BALWING",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.