SUSAN FOSTER REYNOLDS (NPI# 1184785404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184785404 |
| Entity Type | Individual |
| Full Name | SUSAN FOSTER REYNOLDS |
| Credential | MD |
| Practice Address |
652 Jacon Way Pacific Palisades CA 90272-2827 |
| Practice Telephone | 8003615321 |
| Practice Fax Number | 3104544933 |
| Mailing Telephone | 3104544933 |
| Mailing Fax Number | 3104545934 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G34506 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467060012 | Susan Reynolds | Marriage & Family Therapist | 3380 Monroe Ave Ste 117, Rochester, NY 14618-4726 | 2020-07-20 |
| 1598180127 | Susan Reynolds | Licensed Psychiatric Technician | 3904 Jane Way, Modesto, CA 95356-0825 | 2014-02-18 |
| 1417298233 | Susan Reynolds | Physical Therapist | 6777 Sterling Creek Rd, Jacksonville, OR 97530-8920 | 2013-03-04 |
| 1396081790 | Susan Nelson Reynolds | Speech-Language Pathologist | 2405 S 300th St, Federal Way, WA 98003-4225 | 2012-12-13 |
| 1184968752 | Susan Marie Reynolds | Massage Therapist | 3010 S. Southeast Blvd, Suite A, Spokane, WA 99223 | 2012-11-20 |
| 1154459287 | Susan Jean Reynolds | Nurse Practitioner | 9802 Woodbury Ave, Garden Grove, CA 92844-2819 | 2007-03-01 |
| 1033202585 | Susan Reynolds | Social Worker | 4601 Excelsior Blvd Ste 400, St Louis Park, MN 55416-4977 | 2006-10-02 |
| 1700877032 | Susan Kim Reynolds | Emergency Medicine | 1215 Vandalia St, Collinsville, IL 62234-4060 | 2005-11-04 |
| 1780170902 | Susan Reynolds | Audiologist | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2018-07-11 |
| 1144733007 | Susan Marie Reynolds | Family Medicine | 830 S Main St, Orrville, OH 44667-2291 | 2017-11-14 |
| Street Address |
652 JACON WAY |
| City | PACIFIC PALISADES |
| State | CA |
| Zip Code | 90272-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852590 | Lynn Watanabe | Dentist | 881 Alma Real Drive Suite 222, Pacific Palisades, CA 90272 | 2017-03-16 |
| 1891248217 | Ericka Hofmeyer | Marriage & Family Therapist | 17015 Pacific Coast Highway, Spc 28, Pacific Palisades, CA 90272 | 2016-08-02 |
| 1053767137 | Laura Kirkland | Dental Therapist | 984 Monument Drive, 207, Pacific Palisades, CA 90272 | 2016-05-09 |
| 1003288846 | Traig Ty Trumbo | Chiropractor | 12519 Sunset Blvd, Suite 203, Pacific Palisades, CA 90272 | 2015-10-20 |
| 1356712442 | Kathryn Hope Carter | Counselor | 881 Alma Real Drive, Suite 218, Reconnect Integrative Trauma Treatment Center, Pacific Palisades, CA 90272 | 2015-10-14 |
| 1922480946 | John Pietrzak | Psychologist | 15340 Albright St Unit 106, Pacific Palisades, CA 90272 | 2015-06-25 |
| 1841607652 | Babak Forooghi | Dentist | 15720 Ventura Blvd. Suite 311, Encino, CA 90272 | 2014-07-14 |
| 1679992374 | Julie Erickson | Marriage & Family Therapist | 1052 Kagawa Street, Pacific Palisades, CA 90272 | 2014-04-09 |
| 1669750816 | Communy Care At Home | Adult Companion | 1623 S. La Cienega Blvd, Los Angeles, CA 90272 | 2011-07-21 |
| 1548498165 | Norman J. Rubaum | Surgery | 620 Enchanted Way, Pacific Palisades, CA 90272 | 2009-06-23 |
| Find all providers in zip 90272 | ||||
| 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 |
|---|---|---|---|---|
| 1003167289 | Michael Dennis Flanigan | Emergency Medicine | 526 Swarthmore Ave, Pacific Palisades, CA 90272-4349 | 2012-09-27 |
| 1285805374 | Debra Maltenfort | Emergency Medicine | 627 Baylor St, Pacific Palisades, CA 90272-3302 | 2008-03-17 |
| 1932307808 | Jason Joseph Debonis | Emergency Medicine | 701 Haverford Ave, Pacific Palisades, CA 90272-4313 | 2007-07-03 |
| 1689629974 | Joseph A Hardwick | Emergency Medicine | 225 Notteargenta Rd, Pacific Palisades, CA 90272-3111 | 2006-05-24 |
| 1619928694 | Randall Pokomo | Emergency Medicine | 330 Bellino Dr, Pacific Palisades, CA 90272-3103 | 2006-05-13 |
| 1528052495 | John Bibb | Emergency Medicine | 16449 Akron St, Pacific Palisades, CA 90272-2304 | 2005-09-07 |
| 1083902324 | Alexander R Lampone | Emergency Medicine | 15332 Antioch St, #459, Pacific Palisades, CA 90272-3628 | 2011-07-20 |
| 1275706335 | Debra Maltenfort, Md, Inc. | Emergency Medicine | 627 Baylor St, Pacific Palisades, CA 90272-3302 | 2008-04-10 |
| 1407935620 | Alexander R Lampone Md Inc | Emergency Medicine | 984 Monument St, Ste 102, Pacific Palisades, CA 90272 | 2006-11-06 |
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|---|---|---|---|---|
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| 1942811260 | Peter Mann Md Inc | Emergency Medicine | 7634 Girard Ave, La Jolla, CA 92037-4420 | 2020-08-11 |
| 1356959266 | Rgx Medical | Emergency Medicine | 1050 E Cypress Ave, Burbank, CA 91501-1310 | 2020-07-16 |
| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | PACIFIC PALISADES |
| Zip Code | 90272 |
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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.