Susan C Su (NPI# 1639553217, PAC ID# 2961718283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1639553217 |
| PAC ID by PECOS | 2961718283 |
| Professional Enrollment ID | I20150901003237 |
| Full Name | Susan C Su |
| Organization Legal Name | BERKELEY OPHTHALMOLOGY MEDICAL GROUP, INC. |
| Address |
2999 Regent St Suite 425 Berkeley CA 94705-2119 |
| Phone Number | 5105486630 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2365403003 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2999 Regent St, Suite 425, Berkeley, CA 94705-2119 | 5105486630 | BERKELEY OPHTHALMOLOGY MEDICAL GROUP, INC. |
| Organization Legal Name | BERKELEY OPHTHALMOLOGY MEDICAL GROUP, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Peter Litwin | Ophthalmology | Berkeley Ophthalmology Medical Group, Inc. | 2999 Regent St, Suite 425, Berkeley, CA 94705-2119 |
| Street Address |
2999 REGENT ST SUITE 425 |
| City | BERKELEY |
| State | CA |
| Zip | 94705-2119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon Tang | Neurosurgery | 2999 Regent St, Suite 715, Berkeley, CA 94705-2122 | |
| Warren I Dotz | Dermatology | 2999 Regent St, Suite 300, Berkeley, CA 94705-2152 | |
| David L Cummins | General Practice | California Sports and Orthopaedic | 2999 Regent St, Suite 225, Berkeley, CA 94705-2117 |
| Daniel T Oberlin | Urology | Golden Gate Urology Inc | 2999 Regent St, Suite 612, Berkeley, CA 94705-2121 |
| Jonathan R Dunham | Physician Assistant | California Sports and Orthopaedic | 2999 Regent St, Suite 225, Berkeley, CA 94705-2117 |
| Melissa M Chancellor | Physician Assistant | California Sports and Orthopaedic | 2999 Regent St, Suite 225, Berkeley, CA 94705-2117 |
| Stephen Hart | Family Medicine | 2999 Regent St, Suite 622, Berkeley, CA 94705-2121 | |
| Brian R Kaye | Rheumatology | Sutter Bay Medical Foundation | 2999 Regent St, Suite 301, Berkeley, CA 94705-2118 |
| Basil Alwattar | Orthopedic Surgery | California Sports and Orthopaedic | 2999 Regent St, Suite 225, Berkeley, CA 94705-2117 |
| Ronald Elson | Psychiatry | 2999 Regent St, Suite 512, Berkeley, CA 94705-2120 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanne E Menary | Psychologist, Clinical | 2714 Telegraph Ave, Berkeley, CA 94705-1117 | |
| Claire M Capor | Clinical Social Worker | 2714 Telegraph Ave, Berkeley, CA 94705-1117 | |
| Terris R Dunn | Dermatology | 2828 Telegraph Ave, Berkeley, CA 94705-1119 | |
| Carole A Petiet | Psychologist, Clinical | 2340 Ward St, Suite 105, Berkeley, CA 94705-1146 | |
| Meshulam Plaves | Psychologist, Clinical | 2340 Ward St, Suite 102, Berkeley, CA 94705-1146 | |
| Lila Coulter | Psychologist, Clinical | 2340 Ward St, Suite 105, Berkeley, CA 94705-1146 | |
| Lawrence J Yabroff | Psychologist, Clinical | 2340 Ward St, Suite 102, Berkeley, CA 94705-1146 | |
| Susanna Grace Bernat | Psychologist, Clinical | 2340 Ward St, Suite 104, Berkeley, CA 94705-1146 | |
| Miranda H Jung | Psychologist, Clinical | 2340 Ward St, Suite 101, Berkeley, CA 94705-1146 | |
| Vinod K Kurupath | Gastroenterology | Sutter Bay Medical Foundation | 2850 Telegraph Ave, Suite 130, Berkeley, CA 94705-1159 |
| Find all physicians in zip 94705 | |||
| City | BERKELEY |
| Zip Code | 94705 |
| Specialty | OPTOMETRY |
| City + Specialty | BERKELEY + OPTOMETRY |
Please comment or provide details below to improve the information on Susan C Su.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.