Susan Piros Larson, MD, MPH

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A115679 Issued in CA

Practice address

1020 Serpentine LN Ste 115
Pleasanton, CA 94566-4758

Phone

(650) 954-0044

NPI assigned

May 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Susan Piros Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1447461637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 CASTERSON CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667534",
            "telephone_number": "650-954-0044",
            "fax_number": "650-649-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SERPENTINE LN STE 115",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664758",
            "telephone_number": "650-954-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "SUSAN",
        "middle_name": "PIROS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-27",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A115679",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A115679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "PIROS",
            "prefix": "MISS",
            "credential": "MD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunny Landis, COTA/L
• Rosalind Michelle Lane-Williams, PHARMACY TECHNICIAN
• Samuel Lao, DPT
• Catherine Larsen
• Brent Raymond Larson, MD
• Alexandra Danielle Latayan-Pastores
• Juliet Latorre-Olivo
• Amber Lynne Latza, D.C.
• Kai Chung Anderson Lau, PHARM.D.
• Sheila Lau, M.A., MFTI

• General Practice Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.