Individual provider Active NPI

Susan Marie Nasser, D.O.

  • Family Medicine Physician
  • Lancaster, CA
National Provider Identifier
1972668416
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8970 Issued in CA
Practice address
1523 W Avenue J
Ste 7
Lancaster, CA 93534-2819
Phone
(661) 945-2221
Fax
(661) 945-0831
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8970 CA Primary

Addresses

Primary practice location

1523 W Avenue J
Ste 7
Lancaster, CA 93534-2819

Mailing address

42135 10TH St W
Ste 201
Lancaster, CA 93534-6093
Phone (661) 945-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070323000488 CA Practitioner - Family Practice 4082642624 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A8970CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avors Medical Group CurrentSince Mar 1, 2013 Accepting new patients
Familyfirst Family Medical Practice Inc Family Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

42135 10th St W
Ste 101
Lancaster, CA 93534
Phone (661) 341-3800

42135 10th St W
Ste 201
Lancaster, CA 93534
Phone (661) 341-3800

Interoperability endpoints

  • Direct secure messaging: avors.susannasser@133862.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1972668416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W",
            "address_2": "STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346093",
            "telephone_number": "661-945-2221",
            "fax_number": "661-945-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 W AVENUE J",
            "address_2": "STE 7",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342819",
            "telephone_number": "661-945-2221",
            "fax_number": "661-945-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.