Active NPI
Susan Biegel MD Inc
- Internal Medicine Physician
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G66575
- Legal business name
- SUSAN BIEGEL MD INC
- Practice address
- 1004 W Foothill Blvd Ste 200
Upland, CA 91786-3774 - Phone
- (909) 985-1908
- Fax
- (909) 963-1800
- NPI assigned
- Nov 7, 2007
- Last updated
- Jun 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Christine Biegel, M.D
- Title
- President
- Phone
- (909) 985-1908
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G66575 | CA | Primary |
Addresses
Primary practice location
1004 W Foothill Blvd Ste 200
Upland, CA 91786-3774
Mailing address
1004 W Foothill Blvd Ste 200
Upland, CA 91786-3774
Phone (909) 985-1908
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0100350 | Medicaid | CA | |
| 110045232 | Other | CA | RAILROAD MEDICARE |
| G66575 | Other | CA | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | UPLAND | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1004 W Foothill Blvd
Upland, CA 91786
Phone (909) 206-5956
1004 W Foothill Blvd
Ste 200
Upland, CA 91786
Phone (909) 985-1908
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HIDJBD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Upland, CA
- NPI 1710956412
-
- Family Nurse Practitioner
- Fontana, CA
- NPI 1245008028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1467632414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 W FOOTHILL BLVD STE 200",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863774",
"telephone_number": "909-985-1908",
"fax_number": "909-963-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 W FOOTHILL BLVD STE 200",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863774",
"telephone_number": "909-985-1908",
"fax_number": "909-963-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN BIEGEL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "BIEGEL",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-985-1908",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G66575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0100350",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110045232",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G66575",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "UPLAND",
"affiliation": "N",
"endpointDescription": "Change of address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1004 W Foothill Blvd Ste 200",
"city": "Upland",
"state": "CA",
"country_code": "US",
"postal_code": "917863774",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.