Individual provider Active NPI

Suzanne Teuber, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Davis, CA
National Provider Identifier
1619950516
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
G65699 Issued in CA
Practice address
451 Health Sciences Drive
Suite 6510
Davis, CA 95616-8660
Phone
(530) 752-2884
Fax
(530) 754-6047
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X G65699 CA Primary

Addresses

Primary practice location

451 Health Sciences Drive
Suite 6510
Davis, CA 95616-8660

Mailing address

451 Health Sciences Drive
Suite 6510
Davis, CA 95616-8660
Phone (530) 752-2884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080731000537 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2466526934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65699CAMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Sep 3, 1997 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 3, 1997 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

643 W East Ave
Chico, CA 95926
Phone (530) 342-0502

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

4860 Y St
Ste 400
Sacramento, CA 95817
Phone (916) 734-1482

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1619950516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HEALTH SCIENCES DRIVE",
            "address_2": "SUITE 6510",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956168660",
            "telephone_number": "530-752-2884",
            "fax_number": "530-754-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HEALTH SCIENCES DRIVE",
            "address_2": "SUITE 6510",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956168660",
            "telephone_number": "530-752-2884",
            "fax_number": "530-754-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUBER",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "G65699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.