DR. SUSAN LONDERVILLE (NPI# 1760419055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760419055 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LONDERVILLE |
| Credential | M.D. |
| Practice Address |
1546 La Loma Ave Berkeley CA 94708-2034 |
| Mailing Address |
3871 Piedmont Ave #353 Oakland CA 94611-5378 |
| Practice Telephone | 5108684181 |
| Mailing Telephone | 5106554786 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G71492 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G714920 | 01 |
| Street Address |
1546 LA LOMA AVE |
| City | BERKELEY |
| State | CA |
| Zip Code | 94708-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003849548 | Peter Barglow | Psychiatry & Neurology | 1 Quail Avenue, Berkeley, CA 94708 | 2006-07-08 |
| 1447597026 | Lawrence P. Alejandre | Pharmacist | 275 Kenyon Ave, Kensington, CA 94708-1028 | 2013-01-15 |
| 1477992196 | Sharon N. Hashimoto | Pharmacist | 275 Kenyon Ave, Kensington, CA 94708-1028 | 2013-06-15 |
| 1447284617 | Kathleen Ranlett Mock | Marriage & Family Therapist | 231 Cambridge Ave, Kensington, CA 94708-1119 | 2006-07-11 |
| 1245682731 | Julia Overway | Counselor | 238 Lake Dr, Kensington, CA 94708-1132 | 2016-07-07 |
| 1841750700 | Karre Williams | Behavioral Analyst | 291 Purdue Ave, Kensington, CA 94708-1136 | 2019-03-25 |
| 1477939577 | Logan Berrian | Registered Nurse | 5674 Stoneridge Dr. Suite 207, Kensington, CA 94708-1143 | 2015-07-31 |
| 1700110038 | Revital Barr | Psychologist | 454 Vassar Ave, Berkeley, CA 94708-1216 | 2009-09-18 |
| 1770797037 | Sylvia Guendelman | Social Worker | 460 Spruce St, Berkeley, CA 94708-1223 | 2007-05-09 |
| 1871926972 | Mary Alice Hart | Marriage & Family Therapist | 527 Woodmont Ave, Berkeley, CA 94708-1231 | 2013-08-13 |
| Find all providers in zip 94708 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249144 | Zizmor Medical Group Inc. | Internal Medicine | 1935 Addison St Ste A, Berkeley, CA 94704-1354 | 2020-09-08 |
| 1861926669 | David Kagan Md Inc | Internal Medicine | 1829 Monterey Ave, Berkeley, CA 94707-2543 | 2017-04-18 |
| 1629435946 | Patrick Jerome Scannon | Internal Medicine | 2910 Seventh St, Berkeley, CA 94710-2700 | 2016-01-16 |
| 1467829879 | Laura Wilson | Internal Medicine | 593 The Alameda, Berkeley, CA 94707-1644 | 2015-09-02 |
| 1053795450 | Jenna T Dean | Internal Medicine | 2540 Ashby Ave, Room 5505, Berkeley, CA 94705-2067 | 2015-07-15 |
| 1679956932 | Robert Allan Hiatt | Internal Medicine | 145 Hillcrest Rd, Berkeley, CA 94705-2808 | 2015-07-06 |
| 1588054076 | Hana Holistic Medical Center | Internal Medicine | 2107 Channing Way, Berkeley, CA 94704-2020 | 2015-02-04 |
| 1639567647 | Lee W Riley | Internal Medicine | 530e Li Ka Shing Bldg, School of Public Health, University of California, Berkeley, CA 94720-3369 | 2014-12-26 |
| 1316217441 | Michael Lance Seal | Internal Medicine | 1844 San Ramon Ave, Berkeley, CA 94707-1645 | 2012-01-05 |
| 1467721902 | Carol West | Internal Medicine | 701 Panoramic Way, Berkeley, CA 94704-2538 | 2011-12-28 |
| Find all providers in BERKELEY | ||||
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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.