Active NPI
Suzanne C Christie, M.D.
- Pediatrics Physician
- Mill Valley, CA
National Provider Identifier
1629002985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G80284
- Practice address
- 655 Redwood Hwy Frontage Rd
# 216
Mill Valley, CA 94941-3034 - Phone
- (415) 383-3500
- Fax
- (415) 383-3554
- NPI assigned
- Jul 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G80284 | CA | Primary |
Addresses
Primary practice location
655 Redwood Hwy Frontage Rd
# 216
Mill Valley, CA 94941-3034
Mailing address
1206 Strawberry VLG
Mill Valley, CA 94941-2372
Phone (415) 388-3364
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G80284 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of California UCSF | Pediatrics | Current | Accepting new patients |
| Mill Valley Pediatric Associates | Pediatrics | Past | Accepting new patients |
Locations
655 Redwood Hwy Frontage Rd
Ste 216
Mill Valley, CA 94941
Phone (415) 380-8711
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664
Interoperability endpoints
- schristie105870@direct-ucsfmedicalcenter.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
Pediatrics
-
- Pediatrics Physician
- Mill Valley, CA
- NPI 1124057880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1629002985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 STRAWBERRY VLG",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412372",
"telephone_number": "415-388-3364",
"fax_number": "415-388-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 REDWOOD HWY FRONTAGE RD",
"address_2": "# 216",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413034",
"telephone_number": "415-383-3500",
"fax_number": "415-383-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "SUZANNE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G80284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.