Active NPI
Susan Wynn Paullin, M.D.
- Pediatrics Physician
- Rolling Hills Estates, CA
National Provider Identifier
1346363835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G57541
- Practice address
- 827 Deep Valley Dr
#310
Rolling Hills Estates, CA 90274-3647 - Phone
- (310) 544-0828
- Fax
- (310) 377-5536
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G57541 | CA | Primary |
Addresses
Primary practice location
827 Deep Valley Dr
#310
Rolling Hills Estates, CA 90274-3647
Mailing address
827 Deep Valley Dr
#310
Rolling Hills Estates, CA 90274-3647
Phone (310) 544-0828
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57541 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James H Flores Jr MD Inc | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients |
Organizations & group practices 2
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
- Rolling Hills Estates, CA
- NPI 1730428004
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346363835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 DEEP VALLEY DR",
"address_2": "#310",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743647",
"telephone_number": "310-544-0828",
"fax_number": "310-377-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 DEEP VALLEY DR",
"address_2": "#310",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743647",
"telephone_number": "310-544-0828",
"fax_number": "310-377-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULLIN",
"first_name": "SUSAN",
"middle_name": "WYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G57541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolling Hills Estates, CA
- Palos Verdes Oriental Medical Institute
- Palos Verdes Skin Surgery Center Inc.
- Palos Verdes Skin Surgery Ctr Inc
- Sang Bog Park, L,AC
- Patrick J. Stroh, D.D.S., M.S., Inc.
- Patricia Ingraham Paulsen, M.D.
- Theresa Ann Paulson, NURSE PRACTITIONER
- Peninsula Center for Children and Families
- Peninsula Health Center LLC
- Peninsula Health Partners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.