Organization Active NPI

Susan Debin MD Inc.

  • Durable Medical Equipment & Medical Supplies
  • Orange, CA
National Provider Identifier
1346438587
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
G46297 Issued in CA
Legal business name
SUSAN DEBIN MD INC.
Practice address
1234 W Chapman Ave Ste 101
Orange, CA 92868-2862
Phone
(714) 532-6713
Fax
(714) 532-1169
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Mrs. Dottie Rogers
Title
Manager
Phone
(714) 223-0883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X G46297 CA
Durable Medical Equipment & Medical Supplies 332B00000X G46297 CA Primary

Addresses

Primary practice location

1234 W Chapman Ave Ste 101
Orange, CA 92868-2862

Mailing address

1234 W Chapman Ave Ste 101
Orange, CA 92868-2862
Phone (714) 532-6713

Other identifiers 1

IdentifierTypeStateIssuer
DN4721OtherCARAILROAD MEDICARE PTAN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0855681Susan Debin MD1234 W Chapman Ste 101, Orange, CA 92868Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1346438587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 W CHAPMAN AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682862",
            "telephone_number": "714-532-6713",
            "fax_number": "714-532-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W CHAPMAN AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682862",
            "telephone_number": "714-532-6713",
            "fax_number": "714-532-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DEBIN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "DOTTIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-223-0883",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "G46297",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "G46297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DN4721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.