Active NPI
Suzanne Elizabeth Matteson
- Pharmacy Technician
- Malibu, CA
National Provider Identifier
1760692123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 197
- Practice address
- 23357 Pacific Coast Hwy
Malibu, CA 90265-4957 - Phone
- (310) 456-9059
- Fax
- (310) 456-6529
- NPI assigned
- May 23, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 197 | CA | Primary |
Addresses
Primary practice location
23357 Pacific Coast Hwy
Malibu, CA 90265-4957
Mailing address
1648 Ahart St
Simi Valley, CA 93065-2102
Phone (805) 404-2756
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Care Drugs Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760692123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 AHART ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652102",
"telephone_number": "805-404-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23357 PACIFIC COAST HWY",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654957",
"telephone_number": "310-456-9059",
"fax_number": "310-456-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTESON",
"first_name": "SUZANNE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malibu, CA
- Arthur Jay Margulies, JD, CADC-I
- Marriage and Family Research Institute
- Stephanie Rea Ann Martinez, M.A., AMFT
- Mashae Williams LLC
- Marie Christine Matheson, PHD
- Maugeri and Chinn, a Chiropractic Corporation (Malibu Chiropractic Center)
- Ronald Charles Maugeri, D.C.
- Hussam Yaser Mawari, MD
- Carol Ann MC Cabe, B.S.
- Courtney McCaul, PSY. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.