DR. SUSAN D JEIVEN


Address: 2121 Ygnacio Valley Rd, Ste. E200, Walnut Creek, CA 94598-3338
Phone: 9259397344

DR. SUSAN D JEIVEN (NPI# 1386606804) 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) 1386606804
Entity Type Individual
Full Name DR. SUSAN D JEIVEN
Credential M.D.
Practice Address 2121 Ygnacio Valley Rd, Ste. E200
Walnut Creek
CA 94598-3338
Practice Telephone 9259397344
Practice Fax Number 9259397345
Mailing Telephone 9259397344
Mailing Fax Number 9259397345
Enumeration Date 2006-04-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
A54202 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA INDIVIDUAL PROVIDER # 00A542020 01

Office Location

Street Address 2121 YGNACIO VALLEY RD, STE. E200
City WALNUT CREEK
State CA
Zip Code 94598-3338

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NPI Name Taxonomy Address Enumeration
1639716608 Tasnim Diaf Moulton Counselor 2730 Shadelands Drive, Walnut Creek, CA 94598 2019-12-09
1790255370 Harmony Grace Davis Behavior Technician 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 2018-11-27
1922583772 Melissa Anne Mcgovern Behavioral Analyst 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 2018-09-27
1184108367 Brett Heflin Woodrufff Behavior Technician 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 2018-09-24
1710411640 Mandy Wei Pharmacist 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 2017-04-18
1437683497 Hayley Miller Student in an Organized Health Care Education/Training Program 2204 Lomond Lane, Walnut Creek, CA 94598 2017-04-17
1043601594 Marlene Perez Riedel Nurse Practitioner 450 North Wiget Lane, Walnut Creek, CA 94598 2015-02-05
1922418904 Dante Michael Sorrentino Ophthalmology Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 2014-04-30
1194156505 Robert Harrison Hubbell Obstetrics & Gynecology 838 Stonehaven Dr, Walnut Creek, CA 94598 2013-12-11
1174954192 Paul Mead Orthopaedic Surgery 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 2013-12-01
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Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750562864 Fadi G. Haddad, Md, Inc Pediatrics 1455 Montego, Suite 101, Walnut Creek, CA 94598 2007-11-16
1780119966 Norcal Pediatric Gastroenterology Pediatrics 1776 Ygnacio Valley Rd, Ste 108, Walnut Creek, CA 94598-3190 2017-04-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134531254 Mary Catherine Sawh Pediatrics 1625 Stockton Blvd Ste 105, Sacramento, CA 95816-7098 2014-05-22
1477899474 Thomas W Self Pediatrics 7514 Girard Ave Ste 1, La Jolla, CA 92037-5199 2012-12-19
1174882047 Marwa Abu El Haija Pediatrics 3801 Sacramento St Ste 216, San Francisco, CA 94118 2012-05-11
1518251636 Travis Loyd Piester Pediatrics 4650 W Sunset Blvd # Ms 76, Los Angeles, CA 90027-6062 2011-06-06
1235422197 Emily Whang Pediatrics 10833 Le Conte Ave # 12-383, Los Angeles, CA 90095-2804 2011-05-25
1851616056 Kelly Beth Haas Pediatrics 2516 Stockton Blvd Ste 367, Sacramento, CA 95817-2208 2010-03-30
1538490230 Pediatric Gastroenterology of Monterey Inc. Pediatrics 1900 Garden Road Suite 110, Pediatric Group of Monterey, Monterey, CA 93940 2010-01-19
1558490912 Khyati Pravin Mehta Pediatrics 25845 Barton Rd Ste 101, Loma Linda, CA 92354-5300 2007-03-03
1841341427 Walter Edward Benkert Sipe Pediatrics 500 Parnasus Ave, Box 0136, San Francisco, CA 94143-0136 2007-01-12
1679653000 Beth Carter Pediatrics 4650 W Sunset Blvd # 78, Los Angeles, CA 90027-6062 2006-10-17
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Competitor

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City WALNUT CREEK
Zip Code 94598

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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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