Susan Adler, MD

Individual provider Active NPI Anesthesiology Physician · Burlingame, CA

NPI 1679529523 · NPPES record last updated Apr 16, 2008

Key facts

NPI
1679529523
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
G60253 (CA)
Practice address
1783 El Camino Real
Burlingame, CA 94010-3205
Phone
(650) 696-5400
Fax
(650) 696-5208
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60253CAMDOral and Maxillofacial Surgery (Dentist)
G60253CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mills-Peninsula Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sadler48471@hisp.ehr.sutterhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G60253 CA Yes
Pediatrics Physician 208000000X G60253 CA

Addresses

Primary practice location

1783 El Camino Real
Burlingame, CA 94010-3205

Mailing address

PO Box 7793
San Francisco, CA 94120-7793
Phone (925) 951-1366

Other identifiers

IdentifierTypeStateIssuer
00G602530MedicaidCA

Other providers in Burlingame, CA

All providers in Burlingame, CA · Anesthesiology Physician in California

Sources for this page

Verify at the official NPI Registry.