Susan Spieller, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G65408 Issued in CA

Practice address

608 E Sunset Dr N
Redlands, CA 92373-6451

Phone

(310) 351-0497

Fax

(909) 793-1705

NPI assigned

Jun 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1972826774
  NPD (past)
• Desert Advanced Imaging Medical Center

  • Diagnostic Radiology Physician
  • Palm Desert, CA
  • NPI 1568416147
  NPD (past)
• Solano Regional Medical Group, Inc.

  • Family Medicine Physician
  • Fairfield, CA
  • NPI 1528085578
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1528005188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E SUNSET DR N",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736451",
            "telephone_number": "310-351-0497",
            "fax_number": "909-793-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E SUNSET DR N",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736451",
            "telephone_number": "310-351-0497",
            "fax_number": "909-793-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELLER",
        "first_name": "SUSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G65408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G654080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Herring Sovory, M.D.
• Sozo Family Counseling Inc
• Ryan Andrew Spady
• Jordyn S Spargo
• Alicia Spears
• Jessica Careess Spoelstra, MSW
• Julia Sporka
• Robyn Spotten, AMFT
• Spring to Autumn Family Counseling, Inc.
• Jason Paul Springsted, MS, LMFT

• Diagnostic Radiology Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.