SUSAN P LARSON (NPI# 1073072443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073072443 |
| Entity Type | Individual |
| Full Name | SUSAN P LARSON |
| Practice Address |
1411 E 31st St Oakland CA 94602-1018 |
| Practice Telephone | 5104374800 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
Z259069 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934741 | Susan Larson | Speech-Language Pathologist | 1022 Pioneer Trl, Bayport, MN 55003-1608 | 2015-10-14 |
| 1184835308 | Susan Larson | Occupational Therapist | 15357 W Wildwood Ct, Libertyville, IL 60048-1496 | 2007-05-28 |
| 1447461637 | Susan Piros Larson | Preventive Medicine | 1020 Serpentine Ln Ste 115, Pleasanton, CA 94566-4758 | 2007-05-27 |
| 1043724974 | Susan Genevieve Larson | Dietitian, Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2017-11-30 |
| 1437427754 | Susan Madeleine Larson | Physical Therapist | 1601 E 19th Ave, Suite 5500 N2pt, Denver, CO 80218-1216 | 2011-12-01 |
| 1780831305 | Susan Larson | Occupational Therapist | 103 Washington St, Elmira, NY 14901-3220 | 2008-08-26 |
| 1386735256 | Susan Gayle Larson | Psychiatry & Neurology | 3300 Gaither Rd, Baltimore, MD 21244-2916 | 2006-09-27 |
| 1336125632 | Susan A Larson | Pediatrics | 2550 S Parker Rd, Ste 206, Aurora, CO 80014-1622 | 2005-12-19 |
| 1003806795 | Susan Manz Larson | Physical Medicine & Rehabilitation | 2424 S 90th St, Suite 500, West Allis, WI 53227-2455 | 2005-10-25 |
| Street Address |
1411 E 31ST ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733135 | Andrea Elizabeth Williams | Family Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-10-06 |
| 1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
| 1922606276 | Monica Mofidi | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-09 |
| 1639785223 | Mercedeh Nicole Vaez | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-09-18 |
| 1962015701 | Egbe Iyabo Omoregie | Nurse Practitioner | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-30 |
| 1275146672 | Jessica Labioda Sohn | Social Worker | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-25 |
| 1760093462 | Himalina Rajanakhan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1092 | 2020-08-14 |
| 1316558018 | Lisa De La Cruz | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-14 |
| 1396356762 | Jermaine Robertson | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-11 |
| 1700496437 | Kathleen Puanani Hennessy | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447717483 | Laura Rombach Rau | Registered Nurse | 6955 Foothill Blvd Ste 450, Oakland, CA 94605-2455 | 2019-02-26 |
| 1487907077 | Victoria Dorothe Schumb | Registered Nurse | 6424 Mystic St, Oakland, CA 94618-1347 | 2012-10-19 |
| 1922606276 | Monica Mofidi | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-09 |
| 1760093462 | Himalina Rajanakhan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1092 | 2020-08-14 |
| 1316558018 | Lisa De La Cruz | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-14 |
| 1841823507 | Shandra Perera | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-02-20 |
| 1700419553 | Ogbemudia Michael Iyoha | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-02-20 |
| 1548804081 | Jennifer A Simon | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-10-28 |
| 1093359531 | Jana Siu | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-10-28 |
| 1245888312 | Sui Kei Lam Tang | Registered Nurse | 818 Webster St, Oakland, CA 94607-4220 | 2019-08-30 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on SUSAN P LARSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.