SUSAN RADOFF (NPI# 1346306123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346306123 |
| Entity Type | Individual |
| Full Name | SUSAN RADOFF |
| Credential | P.A. |
| Practice Address |
3910 Vista Way Ste 106 Oceanside CA 92056-4513 |
| Mailing Address |
5080 Spectrum Dr Ste 1200w Addison TX 75001-4624 |
| Practice Telephone | 7609412000 |
| Mailing Telephone | 6616782300 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00093 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 189749801 | 05 | |
| TX | BCBS | 8Y1603 | 01 |
| Street Address |
3910 VISTA WAY STE 106 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689141855 | American Current Care of California, A Medical Corporation | Clinic/Center | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2018-10-25 |
| 1497222665 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2018-10-25 |
| 1992177182 | Cara A Guth | Physician Assistant | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2015-10-27 |
| 1265803217 | Hiromi Nagasawa | Physical Therapist | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2015-10-16 |
| 1629454269 | Nima Niakishargh | Physical Therapist | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2015-08-05 |
| 1861811671 | Christina Wallace | Physical Therapist | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2014-04-09 |
| 1497059406 | Ammar Khashan | Physician Assistant | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273617 | Chelsea Marie Ellingson | Physician Assistant | 3142 Vista Way Ste 401, Oceanside, CA 92056-3619 | 2019-09-07 |
| 1164846747 | Stephen F Funk | Physician Assistant | 3037 David Ct, Oceanside, NY 11572-4415 | 2014-02-18 |
| 1205026861 | Kelly T. Sales | Physician Assistant | 3230 Waring Ct Ste J, Oceanside, CA 92056-4509 | 2007-07-30 |
| 1326076043 | Michelle F. Buxton | Physician Assistant | 4318 Mission Ave, Oceanside, CA 92057-6541 | 2006-06-29 |
| 1831135409 | Don Juan Ortiz | Physician Assistant | 465 College Blvd., Ste. 1, Oceanside, CA 92057 | 2006-06-21 |
| 1518953660 | Robin M. Waggoner | Physician Assistant | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 | 2005-09-23 |
| 1194223834 | Waqas Ali | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-01-29 |
| 1316465214 | Alyson Wentworth | Physician Assistant | 200 Mercy Circle, Oceanside, CA 92055 | 2017-08-31 |
| 1972027092 | Shanelle Tashae Graham | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2017-07-31 |
| 1912378332 | Taera Young Felkins | Physician Assistant | 605 Crouch St, Oceanside, CA 92054-4415 | 2015-10-12 |
| Find all providers in OCEANSIDE | ||||
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| 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.