Dr. Suzanne J White

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A64192 Issued in CA

Legal business name

DR. SUZANNE J WHITE

Practice address

285 Mercey Springs Rd
Ste D
Los Banos, CA 93635-3878

Phone

(209) 827-1440

NPI assigned

Jul 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne J White, M.D.NPI 1730238783

Title

Physician

Phone

(209) 827-1440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne J White, MD

  • Family Medicine Physician
  • Los Banos, CA
  • NPI 1730238783
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710911409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MERCEY SPRINGS RD",
            "address_2": "STE D",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353878",
            "telephone_number": "209-827-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MERCEY SPRINGS RD",
            "address_2": "STE D",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353878",
            "telephone_number": "209-827-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUZANNE J WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-827-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A64192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A641920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vijay Devireddy, M.D.
• DO and Huh DDS Inc (Sierra Dental Group)
• DO and Huh, DDS Inc
• Rajwant Kaur Dosanjh, PHARM.D
• Spencer Dowell
• Raymond Bradley Dunne, PHYSICAL THERAPIST
• Alliyah Ariannah Duran
• Dva Healthcare Renal Care Inc (Los Banos Dialysis)
• Antonia M Ebner, RDHAP
• Stefan Elazier

• Health Service Clinic/Center in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.