Shelley Susman, M.D., Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C41775 Issued in CA

Legal business name

SHELLEY SUSMAN, M.D., INC.

Practice address

18370 Burbank Blvd
Suite 100
Tarzana, CA 91356-2804

Phone

(818) 757-2222

Fax

(818) 881-7973

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shelley SusmanNPI 1669435855

Title

President/Ceo

Phone

(818) 757-2222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Shelley Breene Susman, M.D.

  • Obstetrics & Gynecology Physician
  • Tarzana, CA
  • NPI 1669435855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1811240989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244634",
            "telephone_number": "310-471-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "SUITE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-757-2222",
            "fax_number": "818-881-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY SUSMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "SUSMAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-757-2222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C41775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Shayefar
• Kerri Sheffield
• Aleksandra Sheinberg
• Yelena Shekhtman
• Sheldon Hospice
• Aaron Michael Shelub, M.D.
• Yi Sheng, PT, DPT, MFA
• Heather Joy Shenkman, M.D.
• Kevin Adam Sheridan
• Guy Martin Sherk

• Obstetrics & Gynecology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.