DR. SUSAN MARIE TISO


Address: 331 W. Halesworth Ave, Santa Ana, CA 92701
Phone: 9492702100

DR. SUSAN MARIE TISO (NPI# 1336259126) 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) 1336259126
Entity Type Individual
Full Name DR. SUSAN MARIE TISO
Other Name DR. SUSAN MARIE TISO MCNANEY
Credential NP
Practice Address 331 W. Halesworth Ave
Santa Ana
CA 92701
Mailing Address 1550 Superior Ave
Costa Mesa
CA 92627-3653
Practice Telephone 9492702100
Practice Fax Number 9496506976
Mailing Telephone 9492702100
Mailing Fax Number 9496506976
Enumeration Date 2006-08-30
Last Update Date 2013-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
315960 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 331 W. HALESWORTH AVE
City SANTA ANA
State CA
Zip Code 92701

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1780176537 Diane Carol Navarro-prescott Counselor 1633 East 4th Street, Santa Ana, CA 92701 2018-06-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356951834 Kim Merchain Nurse Practitioner 130 N Fairview St, Santa Ana, CA 92703-3472 2020-08-09
1831664085 Clemrose Go Nurse Practitioner 809 S Main St, Santa Ana, CA 92701-5719 2018-10-03
1083199194 Federico Augusto Torres Nurse Practitioner 1331 W Central Ave Apt 37, Santa Ana, CA 92704-5774 2018-09-25
1386121697 Samantha Sanh Chan Nurse Practitioner 1525 W San Lorenzo Ave, Santa Ana, CA 92704-6225 2018-07-20
1558854612 Laura Fessler Nurse Practitioner 3501 S. Harbor Blvd, Santa Ana, CA 92704 2018-06-12
1891216370 Ngoc Kim Nguyen Nurse Practitioner 18912 Fowler Ave, Santa Ana, CA 92705-1217 2017-07-05
1427413947 Rhodora Neu Nurse Practitioner 3401 W. Sunflower Avenue, Suite 250, Santa Ana, CA 92704 2015-12-28
1275906711 Caremore Health Plan Nurse Practitioner 1945 E. 17th St., Suite 101, Santa Ana, CA 92705 2015-11-05
1962895334 Samantha Zimmerman Nurse Practitioner 3401 S Main St, Unit K, Santa Ana, CA 92707-4306 2015-03-10
1306265798 Alma Isabel Velasco Nurse Practitioner 617 S Ross St, Santa Ana, CA 92701-5564 2014-04-14
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Competitor

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City SANTA ANA
Zip Code 92701

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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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