Individual provider Active NPI

Susan Wilturner, MD

  • Family Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1467531277
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73954 Issued in CA
Practice address
14901 National Ave
Suite #201
Los Gatos, CA 95032
Phone
(408) 356-0835
Fax
(408) 358-3689
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A73954 CA Primary

Addresses

Primary practice location

14901 National Ave
Suite #201
Los Gatos, CA 95032

Mailing address

15466 Los Gatos Blvd, Dr. S. Wilturner
#109-242
Los Gatos, CA 95032
Phone (415) 663-5001

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101011000843 CA Practitioner - Family Practice 4183816085 Reassigns benefits to 3 organizations
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73954CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc CurrentSince Feb 6, 2023 Accepting new patients
Bay Area Occupational Medical Group, PC Past Accepting new patients
Hospitalist Medicine Physicians of San Luis Obispo County, Inc Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Interoperability endpoints

  • Direct secure messaging: swilturner574714@direct.ochin.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1467531277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD, DR. S. WILTURNER",
            "address_2": "#109-242",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "415-663-5001",
            "fax_number": "408-358-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 NATIONAL AVE",
            "address_2": "SUITE #201",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-356-0835",
            "fax_number": "408-358-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTURNER",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.