SUSAN LYLA ADHAM (NPI# 1215256599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215256599 |
| Entity Type | Individual |
| Full Name | SUSAN LYLA ADHAM |
| Credential | M.D |
| Practice Address |
4053 Lone Tree Way Suite 101 Antioch CA 94531-6210 |
| Mailing Address |
4053 Lone Tree Way Ste 101 Antioch CA 94531-6210 |
| Practice Telephone | 9257563400 |
| Practice Fax Number | 9257576387 |
| Mailing Telephone | 9257563400 |
| Mailing Fax Number | 9257576387 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2017-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A108068 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A108068 | 01 |
| Street Address |
4053 LONE TREE WAY SUITE 101 |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-6210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154347615 | Kyla Ai-lan Yee | Obstetrics & Gynecology | 4053 Lone Tree Way, #101, Antioch, CA 94531-6200 | 2006-07-15 |
| 1558742171 | Donna Louie | Physician Assistant | 4053 Lone Tree Way, Antioch, CA 94531-6210 | 2015-06-10 |
| 1942699574 | Russell Del Rosario | Nurse Practitioner | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 | 2015-01-20 |
| 1467840850 | Nancy Chuks-orji | Nurse Practitioner | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 | 2015-01-07 |
| 1669892857 | Temitayo Akinfenwa | Family Medicine | 4053 Lone Tree Way, Antioch, CA 94531 | 2014-04-26 |
| 1972941334 | Matthew Lucero | Internal Medicine | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6210 | 2013-06-07 |
| 1780947408 | Zachary Clifford Landman | Emergency Medicine | 4053 Lone Tree Way, Antioch, CA 94531-6210 | 2012-06-18 |
| 1982966685 | Hardeep Saini | Family Medicine | 4053 Lone Tree Way, Suite 100, Antioch, CA 94531-6210 | 2012-06-09 |
| 1316189053 | Ashul Govil | Internal Medicine | 4053 Lone Tree Way, Suite 200, Antioch, CA 94531-6210 | 2009-03-26 |
| 1487810883 | Fatima Memon Syed | Internal Medicine | 4053 Lone Tree Way, Suite 101, Antioch, CA 94531-6200 | 2008-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| 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 |
|---|---|---|---|---|
| 1194134049 | Abbas Mahdavi | Pediatrics | 3700 Lone Tree Way # 3, Antioch, CA 94509-6018 | 2014-08-05 |
| 1861800633 | Abbas Mahdavi Md Inc | Pediatrics | 3700 Sunset Ln Ste 3, Antioch, CA 94509-6123 | 2014-07-24 |
| 1679889448 | Lisa Ann Hills | Pediatrics | 4053 Lone Tree Way Ste 101, Antioch, CA 94531-6210 | 2010-08-31 |
| 1629081005 | Irmeen Musharraf Ashraf | Pediatrics | 3901 Lone Tree Way Ste 211, Antioch, CA 94509-6200 | 2006-08-15 |
| 1376562611 | Franklin Charles Buckner Jr. | Pediatrics | 4816 Pineview Way, Antioch, CA 94531 | 2006-07-18 |
| 1528454238 | Shelley Katherine Ross-li | Pediatrics | 3901 Lone Tree Way Ste 211, Antioch, CA 94509-6200 | 2015-04-09 |
| 1730522954 | Andre Smiljic | Pediatrics | 4501 Sand Creek Rd, Antioch, CA 94531 | 2013-04-08 |
| 1255622890 | Macy Kim Lau | Pediatrics | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2011-05-01 |
| 1699091793 | Allison Townsend Hampton | Pediatrics | 3400 Delta Fair Blvd, Department of Pediatrics, Antioch, CA 94509-4004 | 2010-04-14 |
| 1396921425 | Ling-chih Liang | Pediatrics | 3901 Lone Tree Way, Antioch, CA 94509-6200 | 2008-01-18 |
| Find all providers in ANTIOCH | ||||
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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.