Active NPI
Suzanne Ellen Enloe-Whitaker, DO
- Rheumatology Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 20A7535
- Practice address
- 1700 North Waterman Ave
San Bernardino, CA 92404-5105 - Phone
- (909) 883-8611
- Fax
- (909) 886-1798
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 20A7535 | CA | Primary |
Addresses
Primary practice location
1700 North Waterman Ave
San Bernardino, CA 92404-5105
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX75350 | Medicaid | CA |
Other names 1
- Dr. Suzanne Ellen Enloe
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050803000512 | CA | Practitioner - Rheumatology | 2062440662 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Chicago College of Osteopathy, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611
2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311
Hospital & facility affiliations
- Mountains Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7535 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Rheumatology | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Redlands Family Practice Medical Group Inc. | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Redlands Family Physicians Medical Associates, Inc. | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
17051 Sierra Lakes Pkwy
Ste 103
Fontana, CA 92336
Phone (909) 770-1000
1520 Barton Rd
Redlands, CA 92373
Phone (909) 793-3208
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
Interoperability endpoints
- senloewhiaker22093@epiclp.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
CA
-
- Family Medicine Physician
- Redlands, CA
- NPI 1942482021
CA
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Family Medicine Physician
- Redlands, CA
- NPI 1053390997
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lake Arrowhead, CA
- NPI 1245380799
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763251200000",
"number": "1720058415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NORTH WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045105",
"telephone_number": "909-883-8611",
"fax_number": "909-886-1798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENLOE-WHITAKER",
"first_name": "SUZANNE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2025-11-16",
"certification_date": "2025-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "20A7535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX75350",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "ENLOE",
"middle_name": "ELLEN",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.