Individual provider Active NPI

Suzanne Karefa-Johnson, M.D.

  • Family Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1598890212
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G57792 Issued in CA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103003236 FL Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 1658368303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57792CAMDFamily Medicine Physician
ME117784FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. Family Medicine Past Accepting new patients
GN Medical Associates, Inc. Family Medicine PastSince Apr 1, 2007 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.

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

Verify at the official NPI Registry.