Active NPI
Suzanne Karefa-Johnson, M.D.
- Family Medicine Physician
- Palm Springs, CA
National Provider Identifier
1598890212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G57792
- Practice address
- 255 N El Cielo Rd Ste C300
Palm Springs, CA 92262-6992 - Phone
- (760) 674-3344
- Fax
- (760) 674-3372
- NPI assigned
- Feb 22, 2007
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME117784 | FL | |
| Family Medicine Physician | 207Q00000X | G57792 | CA | Primary |
Addresses
Primary practice location
255 N El Cielo Rd Ste C300
Palm Springs, CA 92262-6992
Mailing address
255 N El Cielo Rd Ste C300
Palm Springs, CA 92262-6992
Phone (760) 674-3344
Other practice location 1
9410 Greenpointe Dr
Tampa, FL 33626-5314
Phone (813) 920-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180103003236 | FL | Order and Referring Only - Hospice/Palliative Care | 1658368303 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57792 | CA | MD | Family Medicine Physician |
| ME117784 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| GN Medical Associates, Inc. | Family Medicine | Past | Accepting new patients |
| Family Hospice Care, LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Desert Oasis Healthcare Medical Group
- Family Medicine Physician
- Palm Springs, CA
- NPI 1114918612
-
- Community Based Hospice Care Agency
- Palm Springs, CA
- NPI 1497847479
Family Medicine
-
dba Gerinet Medical Associates
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1598890212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 N EL CIELO RD STE C300",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626992",
"telephone_number": "760-674-3344",
"fax_number": "760-674-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 N EL CIELO RD STE C300",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626992",
"telephone_number": "760-674-3344",
"fax_number": "760-674-3372"
}
],
"practiceLocations": [
{
"address_1": "9410 Greenpointe Dr",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336265314",
"country_code": "US",
"telephone_number": "813-920-0308",
"fax_number": "813-920-0308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAREFA-JOHNSON",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME117784",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G57792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.