Individual provider Active NPI

Susan Amanda Font, PA-C

  • Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1689857229
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19469 Issued in CA
Practice address
18111 Brookhurst St
Suite 3100
Fountain Valley, CA 92708-6728
Phone
(714) 963-7240
Fax
(714) 963-7224
NPI assigned
Dec 5, 2007
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19469 CA Primary
Medical Physician Assistant 363AM0700X PA19469 CA

Addresses

Primary practice location

18111 Brookhurst St
Suite 3100
Fountain Valley, CA 92708-6728

Mailing address

5901 Warner Ave
342
Huntington Beach, CA 92649-4659
Phone (562) 595-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100106000604 CA Practitioner - Physician Assistant 1759422298 Reassigns benefits to 3 organizations
I20221014002464 TX Practitioner - Physician Assistant 1759422298 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Current Accepting new patients
Algos Inc., a Medical Corporation CurrentSince May 9, 2022 Accepting new patients
Residentialist Housecall Med GRP, PC a Pennsylvania Corp PastSince Aug 4, 2024 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Physicians Imaging Visalia LLC Past Accepting new patients
Psychological Advances in Coping Education Inc Past Accepting new patients

Locations

100 N State College Blvd
Ste H
Fullerton, CA 92831
Phone (714) 824-6565

2650 Jones Way
Ste 9
Simi Valley, CA 93065
Phone (805) 584-9293

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1689857229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WARNER AVE",
            "address_2": "342",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494659",
            "telephone_number": "562-595-0060",
            "fax_number": "562-595-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "SUITE 3100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-963-7240",
            "fax_number": "714-963-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONT",
        "first_name": "SUSAN",
        "middle_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19469",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.