Individual provider Active NPI

Susana Caytuiro, AG-ACNP

  • Nurse Practitioner
  • Stanford, CA
National Provider Identifier
1336674514
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007738 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 780322 CA
Nurse Practitioner 363L00000X 95007738 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200

Other practice location 1

3815 Susan Drive Apt I-12
San Bruno, CA 94066
Phone (910) 813-6860

Other practice location 2

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

Other practice location 3

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190129001927 CA Practitioner - Nurse Practitioner 0840537809 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesia Medical GroupGroup PAC ID 2769370535, 402 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
780322CAMDRegistered Nurse
95007738CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkian Medical CurrentSince Dec 16, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 27, 2024 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 9, 2023 Accepting new patients
University Anesthesia Medical Group CurrentSince Nov 27, 2024 Accepting new patients
Sutter Bay Hospitals Current Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Nov 27, 2024 Accepting new patients
Sutter Bay Hospitals CurrentSince May 20, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Jan 7, 2019 Accepting new patients
Regents of the Univ of Ca CurrentSince Jan 7, 2019 Accepting new patients
University of California San Francisco CurrentSince Nov 27, 2024 Accepting new patients
Sutter Bay Hospitals CurrentSince May 20, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 9, 2023 Accepting new patients
University of California San Francisco CurrentSince Nov 27, 2024 Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1146 N Central Ave
Glendale, CA 91202
Phone (818) 500-0910

600 Marine Blvd
Moss Beach, CA 94038
Phone (650) 563-7100

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

1580 Valencia St
Ste 508
San Francisco, CA 94110
Phone (415) 641-2140

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: scaytuiro80943@direct-ucsfmedicalcenter.org
  • Direct secure messaging: scaytuiro455203@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1336674514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 Susan Drive Apt I-12",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "94066",
            "country_code": "US",
            "telephone_number": "910-813-6860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 Stockton Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172201",
            "country_code": "US",
            "telephone_number": "916-734-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2175 Rosaline Ave",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012549",
            "country_code": "US",
            "telephone_number": "530-225-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAYTUIRO",
        "first_name": "SUSANA",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "780322",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.