Susan S Hong Crandall, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN468870 Issued in CA

Practice address

4151 Middlefield Rd
Suite 111
Palo Alto, CA 94303-4753

Phone

(650) 327-8888

Fax

(650) 269-8624

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Susan Hong-Crandall; Hong Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.hong-crandall.1@11381.direct.athenahealth.com
• Direct secure messaging: susan.hong-crandall.5@17371.direct.athenahealth.com

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.

• County of San Mateo

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1679642326
  Medicare reassignment NPD
• County of San Mateo

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1831268580
  Medicare reassignment NPD
• Seema Sangwan, M.D.

  • Internal Medicine Physician
  • Sunnyvale, CA
  • NPI 1952370900
  Medicare reassignment

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1659550226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 MIDDLEFIELD RD",
            "address_2": "SUITE111",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034753",
            "telephone_number": "650-327-8888",
            "fax_number": "650-269-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 MIDDLEFIELD RD",
            "address_2": "SUITE 111",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034753",
            "telephone_number": "650-327-8888",
            "fax_number": "650-269-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG CRANDALL",
        "first_name": "SUSAN",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "RN468870",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF 17502",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BRN",
            "identifier": "NPF 17502",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BRN",
            "identifier": "NP17502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HONG-CRANDALL; HONG",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Hom, MD
• Melanie Allison Hom, PHD
• Robert Hom, M.D., M.P.H.
• Home Care Assistance
• Alyssa Honda
• Amy C Hong, MD
• David Soonil Hong, M.D.
• Eric Hong, PA-C
• Janie J Hong, PHD
• Jisoo Hong, PHARMD

• Acute Care Nurse Practitioner in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.

Verify at the official NPI Registry.