Individual provider Active NPI

Susan R. Lessin, M.D.

  • Hematology & Oncology Physician
  • Sunnyvale, CA
National Provider Identifier
1629066618
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G44586 Issued in CA
Practice address
585 N Mary Ave
Sunnyvale, CA 94085-2905
Phone
(408) 730-5100
Fax
(408) 730-8726
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Hematology & Oncology Physician 207RH0003X G44586 CA Primary

Addresses

Primary practice location

585 N Mary Ave
Sunnyvale, CA 94085-2905

Mailing address

585 N Mary Ave
Sunnyvale, CA 94085-2905
Phone (408) 730-5100

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44586CAMDDentist
G44586CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Home Health and Hospice Past Accepting new patients

Organizations & group practices 1

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1629066618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N MARY AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940852905",
            "telephone_number": "408-730-5100",
            "fax_number": "408-730-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N MARY AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940852905",
            "telephone_number": "408-730-5100",
            "fax_number": "408-730-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSIN",
        "first_name": "SUSAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G44586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.