Active NPI
Susan Diane Fleischman, M.D.
- Internal Medicine Physician
- Pasadena, CA
National Provider Identifier
1609919075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G59700
- Practice address
- 393 E Walnut St
5TH Floor
Pasadena, CA 91188-0001 - Phone
- (310) 403-3235
- NPI assigned
- Feb 15, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12165 | NV | |
| Internal Medicine Physician | 207R00000X | G59700 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 35-088424 | OH | |
| Internal Medicine Physician | 207R00000X | 01062691A | IN | |
| Internal Medicine Physician | 207R00000X | M5710 | TX |
Addresses
Primary practice location
393 E Walnut St
5TH Floor
Pasadena, CA 91188-0001
Mailing address
393 E Walnut St
5TH Floor
Pasadena, CA 91188-0001
Phone (310) 403-3235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59700 | CA | MD | Internal Medicine Physician |
| 01062691A | IN | MD | Internal Medicine Physician |
| 12165 | NV | MD | Internal Medicine Physician |
| 35-088424 | OH | MD | Internal Medicine Physician |
| M5710 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1609919075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 E WALNUT ST",
"address_2": "5TH FLOOR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911880001",
"telephone_number": "310-403-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 E WALNUT ST",
"address_2": "5TH FLOOR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911880001",
"telephone_number": "310-403-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHMAN",
"first_name": "SUSAN",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "12165",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G59700",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-088424",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01062691A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M5710",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.