Susan Wolf, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A66326 Issued in CA

Legal business name

SUSAN WOLF, M.D.

Practice address

100 S. Ellsworth Avenue
Suite 707
San Mateo, CA 94401-3939

Phone

(650) 348-1242

Fax

(650) 348-0788

NPI assigned

Nov 20, 2007

Organization subpart

Yes

Parent organization

SUSAN WOLF, M.D.As reported in NPPES

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

Authorized official

Name

Susan Wolf, M.D.

Title

Owner

Phone

(650) 348-1242

Specialties & licenses 1

Addresses

Part of

Susan Wolf MD

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1417138231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S. ELLSWORTH AVENUE",
            "address_2": "SUITE 707",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-348-1242",
            "fax_number": "650-348-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. ELLSWORTH AVENUE",
            "address_2": "SUITE 707",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013939",
            "telephone_number": "650-348-1242",
            "fax_number": "650-348-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WOLF, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSAN WOLF, M.D.",
        "enumeration_date": "2007-11-20",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-348-1242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohan Sundareson, M.D.,
• Aleena Sunil
• Keertana Sureshbabu
• Susan J Spencer, MD, Inc
• Susan Joyner
• Christian Sustrina, PTA
• Carl Mason Sutherland II, MD
• Vanna Sutherland, M.D.
• Sutter Bay Hospitals
• Sutter Bay Medical Foundation

• All providers in San Mateo, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.