SUSAN S HARADA


Address: 405 Bedford Pl, Thousand Oaks, CA 91360-5329
Phone: 8054972586

SUSAN S HARADA (NPI# 1194019448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194019448
Entity Type Individual
Full Name SUSAN S HARADA
Credential RN, MN, NP, COHN-S
Practice Address 405 Bedford Pl
Thousand Oaks
CA 91360-5329
Practice Telephone 8054972586
Mailing Telephone 8054972586
Enumeration Date 2011-06-03
Last Update Date 2011-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0106X Nurse Practitioner
Specialization: Occupational Health
RN 454758 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 405 BEDFORD PL
City THOUSAND OAKS
State CA
Zip Code 91360-5329

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1023548989 Anna Garduno Specialist/Technologist 3680 Campus Drive, Thousand Oaks, CA 91360 2017-06-14
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1841612033 Katherine Snyder Counselor 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 2014-01-08
1235567397 Christine Maria Katzenmaier Speech-Language Pathologist 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 2013-10-28
1912335233 Lena Ameripour Behavioral Analyst 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 2013-10-23
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Taxonomy Information

Taxonomy Code 363LX0106X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Occupational Health

Taxonomy Definition

Definition to come...

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Competitor

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City THOUSAND OAKS
Zip Code 91360

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Dataset Information

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.

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