Individual provider Active NPI

Susan Kay Hammar, MD

  • Pediatrics Physician
  • Burbank, CA
National Provider Identifier
1780798231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G53696 Issued in CA
Practice address
2211 W Magnolia Blvd
Suite 210
Burbank, CA 91506-1753
Phone
(818) 391-2400
Fax
(818) 391-2409
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G53696 CA Primary

Addresses

Primary practice location

2211 W Magnolia Blvd
Suite 210
Burbank, CA 91506-1753

Mailing address

2211 W Magnolia Blvd
Suite 210
Burbank, CA 91506-1753
Phone (818) 391-2400

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G53696CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780798231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD",
            "address_2": "SUITE 210",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061753",
            "telephone_number": "818-391-2400",
            "fax_number": "818-391-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD",
            "address_2": "SUITE 210",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061753",
            "telephone_number": "818-391-2400",
            "fax_number": "818-391-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMAR",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G53696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

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.

Verify at the official NPI Registry.