Susan T. Obata, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G67882 Issued in CA

Practice address

555 Cole St
Community Health Programs for Youth-Cole St Clinic
San Francisco, CA 94117-2800

Phone

(415) 751-8181

Fax

(415) 386-8212

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881711257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COLE ST",
            "address_2": "COMMUNITY HEALTH PROGRAMS FOR YOUTH-COLE ST CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172800",
            "telephone_number": "415-751-8181",
            "fax_number": "415-386-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 COLE ST",
            "address_2": "COMMUNITY HEALTH PROGRAMS FOR YOUTH-COLE ST CLINIC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172800",
            "telephone_number": "415-751-8181",
            "fax_number": "415-386-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBATA",
        "first_name": "SUSAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "021147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edna Eunice Obaseki, MS
• Nosa Obaseki
• Ojochide Obaseki
• Ambrose Owie Obasohan
• Dennis Okumu Obat, MD
• Obdulia's Resthome, Inc
• Marilyn Jeanne Obedzinski, PNP
• Nancy Ann Elizabeth Oberheim Bush, M.D. PH.D.
• Nicholas Ryan Oberlies, MD
• Snehlata Oberoi, DDS

• Family Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Medicine Physician in California

• 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.