SUSAN K. MUNDEN (NPI# 1053426486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053426486 |
| Entity Type | Individual |
| Full Name | SUSAN K. MUNDEN |
| Credential | M.D. |
| Practice Address |
31872 Coast Hwy Laguna Beach CA 92651-6773 |
| Mailing Address |
2100 Powell St Suite 900 Emeryville CA 94608-1826 |
| Practice Telephone | 9494991311 |
| Mailing Telephone | 5103502600 |
| Mailing Fax Number | 5108799100 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A55912 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A559120 | 05 |
| Street Address |
31872 COAST HWY |
| City | LAGUNA BEACH |
| State | CA |
| Zip Code | 92651-6773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548258239 | Amir H Ronaghi | Radiology | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2005-10-07 |
| 1295372621 | Keeban Nam, M.d., Inc. | Clinic/Center | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2019-12-04 |
| 1447809629 | Jemma Coster | Nurse Practitioner | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2019-09-10 |
| 1902364995 | Krista Marie Stone | Registered Nurse | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2019-03-08 |
| 1487121984 | Brian Choi M.d. Mba | Clinic/Center | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2018-11-01 |
| 1366952152 | Shabnam Esmailzadeh K | Acupuncturist | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2017-10-05 |
| 1316462732 | Gregory Scott Ware | Pharmacist | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2017-08-07 |
| 1245767441 | Orange County Psych Specialists | Psychiatry & Neurology | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2017-05-18 |
| 1861866741 | Jonathan E Shaywitz Md Inc | Psychiatry & Neurology | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2015-11-16 |
| 1194162347 | Olivia Granados | Registered Nurse | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1871154526 | Jinyi Bae | Psychiatry & Neurology | 31872 Coast Highway, Behavioral Health Unit, Laguna Beach, CA 92651 | 2019-06-24 |
| 1790348209 | Karen Veseth | Pharmacist | 30842 South Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-04-19 |
| 1629536602 | Briana Kim | Pharmacist | 30842 S Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-03-08 |
| 1295246288 | Priscilla Newton | Marriage & Family Therapist | 1427 Catalina, Laguna Beach, CA 92651 | 2017-10-17 |
| 1659723609 | Kassie Claughton | Social Worker | 1986 S Coast Hwy, Suite 1600, Laguna Beach, CA 92651 | 2016-07-01 |
| 1285029629 | Kathleen Susan Wenger | Counselor | 1550 South Pacific Coast Highway, #205, Laguna Beach, CA 92651 | 2015-04-02 |
| 1316350044 | Marcus D Yetter | Podiatrist | 31852 Coast Hwy Ste 105, Laguna Beach, CA 92651 | 2014-06-10 |
| 1891105854 | Connie Lee Bird | Social Worker | 332 Forest Ave #21, Laguna Beach, CA 92651 | 2014-04-30 |
| 1578989745 | Ana Maria Guerrero | Acupuncturist | 1100 South Coast Highway # 215, Laguna Beach, CA 92651 | 2014-03-12 |
| Find all providers in zip 92651 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396197026 | Energy Wellness Rejuvenation Inc | Emergency Medicine | 456 Panorama Dr, Laguna Beach, CA 92651-1278 | 2016-07-06 |
| 1982762761 | Stephen John Groth | Emergency Medicine | 554 Diamond St, Laguna Beach, CA 92651-3404 | 2006-12-05 |
| 1811093982 | William Carl Anderson | Emergency Medicine | 364 Ocean Avenue, Laguna Beach, CA 92651-2322 | 2006-09-16 |
| 1568490332 | Lewis M Moss | Emergency Medicine | 364 Ocean Ave, Laguna Beach, CA 92651 | 2006-06-29 |
| 1891749719 | California Emergency Physicians Medical Group | Emergency Medicine | 31872 S. Coast Medical Center, Laguna Beach, CA 92651 | 2006-05-22 |
| 1114977683 | True Luu Mcmahan | Emergency Medicine | 31872 South Coast Highway, Laguna Beach, CA 92651 | 2006-05-12 |
| 1104881481 | Timothy Earl Korber | Emergency Medicine | 825 Emerald Bay, Laguna Beach, CA 92651-1228 | 2006-04-19 |
| 1134355597 | Mission Viejo Emergency Medical Associates, Inc. | Emergency Medicine | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2009-05-29 |
| 1912011453 | Mary K. Ashkenaze | Emergency Medicine | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2006-08-19 |
| 1215041751 | Michael George Bower | Emergency Medicine | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2006-08-19 |
| Find all providers in LAGUNA BEACH | ||||
| City | LAGUNA BEACH |
| Zip Code | 92651 |
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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.