Susan H Hoffman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G79922 Issued in CA

Practice address

79 Benton Way
San Luis Obispo, CA 93405-1717

Phone

(805) 440-3368

Fax

(805) 481-8237

NPI assigned

Jun 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Susan H Teaford Former name

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1891790630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BENTON WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051717",
            "telephone_number": "805-440-3368",
            "fax_number": "805-481-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BENTON WAY",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051717",
            "telephone_number": "805-440-3368",
            "fax_number": "805-481-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "SUSAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G79922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA PIN",
            "identifier": "00B799220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE #",
            "identifier": "G79922",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G799220",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "TEAFORD",
            "middle_name": "H",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Lorain Hobbs
• Bettina Hodel, PH.D.
• Aimee A Hoffman, PA
• Christine Hoffman
• Paul Corey Hoffman
• Lauren Hogan, MS, RD
• Sarah Ashley Holcomb
• Amanda Marie Holden-Rafferty
• Alexa Taylor Holguin, MOT
• Joseph Edward Holifield, PH.D.

• Pediatrics Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.