NPIMap

Organization Active NPI

Susan Baldwin, OD & Associates

  • Optometrist
  • Citrus Heights, CA
National Provider Identifier
1811101389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12369T Issued in CA
Legal business name
SUSAN BALDWIN, OD & ASSOCIATES
Practice address
5900 Sunrise Mall
Citrus Heights, CA 95610-6902
Phone
(916) 061-0395
Fax
(916) 961-0396
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan Baldwin, ODNPI 1588693055
Title
OD Owner
Phone
(916) 961-0395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 11460T CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 12369T CA Primary

Addresses

Primary practice location

5900 Sunrise Mall
Citrus Heights, CA 95610-6902

Mailing address

5900 Sunrise Mall
Citrus Heights, CA 95610-6902
Phone (916) 061-0395

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811101389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SUNRISE MALL",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956106902",
            "telephone_number": "916-061-0395",
            "fax_number": "916-961-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SUNRISE MALL",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956106902",
            "telephone_number": "916-061-0395",
            "fax_number": "916-961-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN BALDWIN, OD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OD  OWNER",
        "authorized_official_telephone_number": "916-961-0395",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11460T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12369T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.