Individual provider Active NPI

Susan River Contreras, RN BS PHN

  • Community Health Registered Nurse
  • Pleasanton, CA
National Provider Identifier
1952584252
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN139510 Issued in CA
Practice address
3730 Hopyard Road
Room 102 Public Health Nursing
Pleasanton, CA 94588-8510
Phone
(925) 462-5775
Fax
(925) 846-2591
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN139510 CA Primary

Addresses

Primary practice location

3730 Hopyard Road
Room 102 Public Health Nursing
Pleasanton, CA 94588-8510

Mailing address

3730 Hopyard Road
Room 102
Pleasanton, CA 94588-8510
Phone (925) 462-5775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN139510CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1952584252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 HOPYARD ROAD",
            "address_2": "ROOM 102",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888510",
            "telephone_number": "925-462-5775",
            "fax_number": "925-846-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 HOPYARD ROAD",
            "address_2": "ROOM 102 PUBLIC HEALTH NURSING",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888510",
            "telephone_number": "925-462-5775",
            "fax_number": "925-846-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "SUSAN",
        "middle_name": "RIVER",
        "credential": "RN BS PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "RN139510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.