Individual provider Active NPI

Suzanne DO, N.P.

  • Nurse Practitioner
  • Downey, CA
National Provider Identifier
1720110620
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP 8206 Issued in CA
Practice address
11525 Brookshire Ave Ste 301
Attn Maggie Noles
Downey, CA 90241-4982
Phone
(562) 862-3684
Fax
(562) 862-7145
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP 8206 CA Primary

Addresses

Primary practice location

11525 Brookshire Ave Ste 301
Attn Maggie Noles
Downey, CA 90241-4982

Mailing address

PO Box 51238
Attn Maggie Noles
Los Angeles, CA 90051-5538
Phone (562) 741-4461

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP 8206CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremore Medical Group Past Accepting new patients
Rubin and McNamara MDS Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1720110620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51238",
            "address_2": "ATTN MAGGIE NOLES",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515538",
            "telephone_number": "562-741-4461",
            "fax_number": "562-741-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE STE 301",
            "address_2": "ATTN MAGGIE NOLES",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414982",
            "telephone_number": "562-862-3684",
            "fax_number": "562-862-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "SUZANNE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 8206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.