SUSAN SUZUKI WELLBORN (NPI# 1578699484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578699484 |
| Entity Type | Individual |
| Full Name | SUSAN SUZUKI WELLBORN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1043 Elm Ave Suite 300 Long Beach CA 90813-3271 |
| Practice Telephone | 5626244908 |
| Practice Fax Number | 5624919128 |
| Mailing Telephone | 5626244908 |
| Mailing Fax Number | 5624919128 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
283744 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1043 ELM AVE SUITE 300 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336103209 | Harold Michael Klem | Radiology | 1043 Elm Ave, Long Beach, CA 90813-3271 | 2006-04-17 |
| 1588055073 | Josephine Correia | Nurse Practitioner | 1043 Elm Ave, St. 302, Long Beach, CA 90813-3271 | 2015-02-05 |
| 1780925644 | Matthew Christopher Dillon | Social Worker | 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 | 2013-03-01 |
| 1811212491 | Cannon Milani | Internal Medicine | 1043 Elm Ave, Ste 104, Long Beach, CA 90813-3271 | 2010-04-07 |
| 1053543744 | Peter Nazmi Wahba | Internal Medicine | 1043 Elm Ave, Ste 104, Long Beach, CA 90813-3271 | 2009-08-14 |
| 1619092046 | Dignity Health | Clinic/Center | 1043 Elm Ave, Long Beach, CA 90813-3271 | 2007-03-21 |
| 1710002860 | St. Mary Health Ventures, Inc. | Pharmacy | 1043 Elm Ave, Suite 305, Long Beach, CA 90813-3271 | 2007-03-20 |
| 1700919669 | Prohealth Partners, A Medical Group, Inc | Internal Medicine | 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 | 2007-03-13 |
| 1588701619 | Benjamin Montoya | Internal Medicine | 1043 Elm Ave, Suite 300, Long Beach, CA 90813-3271 | 2007-01-30 |
| 1801983374 | Philip Scott Schauweker | Podiatrist | 1043 Elm Ave, Suite 407, Long Beach, CA 90813-3271 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061117 | Charisse Christie Magsaysay | Nurse Practitioner | 4508 Atlantic Ave Ste 468a, Long Beach, CA 90807-1520 | 2020-10-23 |
| 1780293886 | Christina Balladin | Nurse Practitioner | 37 E Hudson St, Long Beach, NY 11561-2106 | 2020-07-24 |
| 1598391518 | Samantha Lynne Band | Nurse Practitioner | 360 W Ocean Blvd Apt 406, Long Beach, CA 90802-4606 | 2020-03-21 |
| 1144854472 | Terezia Marie Tarantino | Nurse Practitioner | 542 E Market St, Long Beach, NY 11561-2421 | 2020-02-25 |
| 1619500196 | Mns Healthcare Solutions LLC | Nurse Practitioner | 3802 Hathaway Ave Apt 812, Long Beach, CA 90815-5117 | 2020-02-12 |
| 1588228738 | Jeannet D Ly | Nurse Practitioner | 2100 E Anaheim St Ste B, Long Beach, CA 90804-3419 | 2019-04-23 |
| 1730642166 | Justin Kimberland Jourdan | Nurse Practitioner | 523 Arbor Station Dr, Long Beach, MS 39560-5734 | 2019-04-11 |
| 1447711460 | Giselle Ann Rodriguez Zaragoza | Nurse Practitioner | 5920 Gardenia Ave, Long Beach, CA 90805-4210 | 2019-03-31 |
| 1427515998 | Saury Mamisay | Nurse Practitioner | 3145 Julian Ave, Long Beach, CA 90808-4436 | 2019-02-20 |
| 1932663630 | Agatha Chinyere Osuji | Nurse Practitioner | 3530 Atlantic Ave Ste 101, Long Beach, CA 90807-4569 | 2019-01-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on SUSAN SUZUKI WELLBORN.
| 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.