Suzanne J White, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A64192 Issued in CA

Practice address

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

Phone

(209) 827-1440

Fax

(209) 827-1571

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Robin L Trumbull, M.D.

  • Family Medicine Physician
  • Merced, CA
  • NPI 1568553030
  Medicare reassignment
• Dr. Suzanne J White

  • Health Service Clinic/Center
  • Los Banos, CA
  • NPI 1710911409
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1730238783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 M ST",
            "address_2": "STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402826",
            "telephone_number": "209-827-1440",
            "fax_number": "209-827-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MERCEY SPRINGS RD STE D",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353878",
            "telephone_number": "209-827-1440",
            "fax_number": "209-827-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SUZANNE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A641920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Diamond Walker
• Walmart Inc. (Walmart Pharmacy 10-2117)
• West Eye Incorporated
• Western Dental Services, Inc.
• Ana Luz White
• Brendan Wong
• Megan Vingqui Wong
• Wright Medical Corporation
• Benny Lee Wright, D.O.
• Michael Wu, D.M.D

• Family Medicine Physician in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.