Active NPI
Susan Kay Renteria, N.P.
- Nurse Practitioner
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN350758/NP10828
- Practice address
- 10885 Telegraph Rd
Ventura, CA 93004-1272 - Phone
- (805) 647-7704
- Fax
- (805) 647-7084
- NPI assigned
- May 31, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN350758/NP10828 | CA | Primary |
Addresses
Primary practice location
10885 Telegraph Rd
Ventura, CA 93004-1272
Mailing address
10885 Telegraph Rd
Ventura, CA 93004-1272
Phone (805) 647-7704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN350758 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10828 | CA | MD | Physical Therapist |
| RN350758/NP10828 | CA | MD | Nurse Practitioner |
Practice roles
Locations
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
3901 Las Posas Rd
Ste 103
Camarillo, CA 93010
Phone (805) 702-4131
10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704
3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303
2629 Loma Vista Rd
Ventura, CA 93003
Phone (805) 641-1780
5725 Ralston St
Ste 101
Ventura, CA 93003
Phone (805) 658-2273
2772 Johnson Dr
Ste 200
Ventura, CA 93003
Phone (805) 642-1430
Interoperability endpoints
- susan.renteria.1@29357.direct.athenahealth.com
- https://api.platform.athenahealth.com/24069/brand/1/csg/1/fhir/r4
Organizations & group practices 28
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.
-
- Internal Medicine Physician
- Ventura, CA
- NPI 1902486517
-
- Family Medicine Physician
- Ventura, CA
- NPI 1417970849
-
- Urgent Care Clinic/Center
- Ventura, CA
- NPI 1164449971
-
- Durable Medical Equipment & Medical Supplies
- Dillingham, AK
- NPI 1942491220
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
Hospital & facility affiliations 35
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinic/Center
- Tenakee Springs, AK
- NPI 1477721280
Hospital
-
- Nursing Facility/Intermediate Care Facility
- Juneau, AK
- NPI 1932312485
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1881631786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10885 TELEGRAPH RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041272",
"telephone_number": "805-647-7704",
"fax_number": "805-647-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10885 TELEGRAPH RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930041272",
"telephone_number": "805-647-7704",
"fax_number": "805-647-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTERIA",
"first_name": "SUSAN",
"middle_name": "KAY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "RN350758/NP10828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN350758",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.