Individual provider Active NPI

Susan Senzaki, CPNP, RN, DNP

  • Pediatric Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1750764296
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
19121 Issued in CA
Practice address
729 N Medical Center Dr W # 201
Clovis, CA 93611-6879
Phone
(559) 900-3045
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 19121 CA Primary

Addresses

Primary practice location

729 N Medical Center Dr W # 201
Clovis, CA 93611-6879

Mailing address

452 E Shelldrake Cir
Fresno, CA 93730-1229
Phone (559) 304-9345

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212003088 CA Practitioner - Nurse Practitioner 5698124907 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
19121CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Oct 30, 2023 Accepting new patients
Dominic Dizon, Medical Corporation CurrentSince Dec 2, 2024 Accepting new patients

Locations

2066 E Copper Ave
Ste 101
Fresno, CA 93730
Phone (559) 299-2997

7035 N Maple Ave
Ste 102B
Fresno, CA 93720
Phone (559) 299-2997

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2066 E Copper Ave
Ste 104
Fresno, CA 93730
Phone (559) 299-2997

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1750764296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 E SHELLDRAKE CIR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937301229",
            "telephone_number": "559-304-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N MEDICAL CENTER DR W # 201",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116879",
            "telephone_number": "559-900-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENZAKI",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "CPNP, RN, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "19121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.