Susan Lofsness Waits, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14760 Issued in CA

Practice address

2123 Eureka Way
Redding, CA 96001-0428

Phone

(530) 246-4629

Fax

(530) 246-4621

NPI assigned

Jun 29, 2007

Last updated

Nov 7, 2020By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redding Primary Care Medical Group, Inc

  dba Hilltop Medical Clinic West

  • Clinic/Center
  • Redding, CA
  • NPI 1376669481
  Medicare reassignment
• Redding Primary Care Medical Group, Inc

  dba Hilltop Medical Clinic

  • Urgent Care Clinic/Center
  • Redding, CA
  • NPI 1316966302
  NPD

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1346447760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010428",
            "telephone_number": "530-246-4629",
            "fax_number": "530-246-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010428",
            "telephone_number": "530-246-4629",
            "fax_number": "530-246-4621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1093 Hilltop Dr",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960033811",
            "country_code": "US",
            "telephone_number": "530-221-1565",
            "fax_number": "530-221-3912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2626 Edith Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960013056",
            "country_code": "US",
            "telephone_number": "530-243-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITS",
        "first_name": "SUSAN",
        "middle_name": "LOFSNESS",
        "name_prefix": "Ms.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Arianna Wahl
• Desiree Waidelich
• Marissa Jean Waite
• Eric R Waits, DMD
• Froozandeh H Waits, PHARMACIST
• Eden Waldon, APCC
• Walgreen Co (Walgreens #05699)
• Walgreen Co (Walgreens #04243)
• Walgreen Co (Walgreens #05781)
• Allie Renee Walker

• Physician Assistant in Redding, CA
• Providers in Redding, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.