SUSAN BRALLIER (NPI# 1083627517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083627517 |
| Entity Type | Individual |
| Full Name | SUSAN BRALLIER |
| Credential | DO |
| Practice Address |
780 E Washington Blvd Ste 202 Crescent City CA 95531-8397 |
| Practice Telephone | 7074646715 |
| Practice Fax Number | 7074649593 |
| Mailing Telephone | 7074646715 |
| Mailing Fax Number | 7074649593 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20A10428 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2439 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | 20A10428 | 01 |
| Street Address |
780 E WASHINGTON BLVD STE 202 |
| City | CRESCENT CITY |
| State | CA |
| Zip Code | 95531-8397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720033889 | Tien Huy Nguyen | Surgery | 780 E Washington Blvd, Suite 105, Crescent City, CA 95531-8397 | 2006-05-24 |
| 1376074559 | Srs-crescent City, LLC | Clinic/Center | 780 E Washington Blvd, Building B, Crescent City, CA 95531-8397 | 2017-03-21 |
| 1376909606 | Sutter Coast Hospital | Orthopaedic Surgery | 780 E Washington Blvd, Suite 105, Crescent City, CA 95531-8397 | 2015-12-31 |
| 1134381536 | Elie M Hobeika | Obstetrics & Gynecology | 780 E Washington Blvd, Ste 202, Crescent City, CA 95531-8397 | 2008-06-26 |
| 1902065279 | Carla Nelson | Pediatrics | 780 E Washington Blvd, Ste 202, Crescent City, CA 95531-8397 | 2008-06-03 |
| 1699965228 | Nabil Elkhoury | Obstetrics & Gynecology | 780 E Washington Blvd, Suite 101, Crescent City, CA 95531-8397 | 2007-07-30 |
| 1255415626 | Margo M Pfunder | Advanced Practice Midwife | 780 E Washington Blvd, Suite 202, Crescent City, CA 95531-8397 | 2006-10-24 |
| 1700960267 | Sutter Coast Hospital | General Practice | 780 E Washington Blvd, Suite 202, Crescent City, CA 95531-8397 | 2006-10-24 |
| 1548288491 | Jai Chand Autar | Specialist | 780 E Washington Blvd, Suite 202, Crescent City, CA 95531-8397 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548725237 | John Michael Horner | Counselor | 455 Kst, Crescent City, CA 95531 | 2019-02-06 |
| 1245716943 | Tonya Shantel Escobar | Registered Nurse | 1301b Northcrest Drive #13, Crescent City, CA 95531 | 2018-07-16 |
| 1679019319 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 657 Hwy 101 N, Crescent City, CA 95531 | 2017-01-18 |
| 1063969558 | Darrick Stewart Roach | Massage Therapist | 1225 Marshall St., 18, Crescent City, CA 95531 | 2016-09-01 |
| 1447638044 | Yelena Zaitseva Lavender | Counselor | 455 K Street, Crescent City, CA 95531 | 2015-05-14 |
| 1942630421 | Kamilia Ann Schnacker | Counselor | 370 9th Street, Crescent City, CA 95531 | 2013-11-19 |
| 1881906261 | Peter Allen Brown | Psychologist | 505 H Street, Crescent City, CA 95531 | 2010-07-13 |
| 1700119385 | Remi Vista Services for Probation Youth | Community/Behavioral Health | 206 Williams Dr # 2, Crescent City, CA 95531 | 2009-09-14 |
| 1982862538 | Joshua Thomas Matson | Chiropractor | 550 E Washington Blvd Ste 100, Crescent City, CA 95531 | 2008-05-30 |
| 1902076250 | County of Del Norte | Community/Behavioral Health | 1125 Burtschell, Crescent City, CA 95531 | 2008-03-03 |
| Find all providers in zip 95531 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366737942 | Dominic Omar Ansari | Pediatrics | 800 E Washington Blvd, Crescent City, CA 95531-8359 | 2011-06-13 |
| 1902065279 | Carla Nelson | Pediatrics | 780 E Washington Blvd, Ste 202, Crescent City, CA 95531-8397 | 2008-06-03 |
| 1952599078 | Karolina W Dembinski | Pediatrics | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2007-10-15 |
| 1750423513 | Alexander Clifford Wade | Pediatrics | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2007-02-12 |
| 1780776328 | Gurjit Singh Marwah | Pediatrics | 550 E Washington Blvd, Crescent City, CA 95531-8160 | 2006-09-29 |
| 1093740243 | Anne Marie Duncan | Pediatrics | 1200 Marshall St, Crescent City, CA 95531-2217 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
| City | CRESCENT CITY |
| Zip Code | 95531 |
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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.