Active NPI
Susan Marie Ungar, MS,NP
- Women's Health Nurse Practitioner
- Soquel, CA
National Provider Identifier
1871661165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 309539
- Practice address
- 4841 Soquel Dr
Soquel, CA 95073-2428 - Phone
- (831) 818-5357
- Fax
- (831) 325-0165
- NPI assigned
- Dec 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 309539 | CA | Primary |
Addresses
Primary practice location
4841 Soquel Dr
Soquel, CA 95073-2428
Mailing address
PO Box 2680
Aptos, CA 95001-2680
Phone (831) 818-5357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309539 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1871661165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2680",
"city": "APTOS",
"state": "CA",
"postal_code": "950012680",
"telephone_number": "831-818-5357",
"fax_number": "831-325-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4841 SOQUEL DR",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732428",
"telephone_number": "831-818-5357",
"fax_number": "831-325-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGAR",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS,NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "309539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.