Susan Geraldine Trebon, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

17001 Issued in CA

Practice address

35000 Guadacanal Street
San Diego, CA 92140-5599

Phone

(619) 524-4082

Fax

(619) 524-0852

NPI assigned

Feb 23, 2006

Last updated

Dec 3, 2010By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1912973611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 TITUS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102144",
            "telephone_number": "619-846-8704",
            "fax_number": "619-795-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 GUADACANAL STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921405599",
            "telephone_number": "619-524-4082",
            "fax_number": "619-524-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREBON",
        "first_name": "SUSAN",
        "middle_name": "GERALDINE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAN ASSISTANT LICENS",
            "identifier": "17001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Traxler, M.D.
• Kathleen Traxler
• Janet Traylor, MA, LMFT
• Shannon Traylor
• Joleen Trear
• Stephanie Trecha
• Elizabeth Treeheart, P.T.
• Christine Elizabeth Treffer, M.D.
• Amanda Treger, PMHNP
• Sarika Dipti Trehan, MA

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.