SUSAN L FULLEMANN MD (NPI# 1497824262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497824262 |
| Entity Type | Organization |
| Organization Name | SUSAN L FULLEMANN MD |
| Other Organization Name | BURLINGAME FAMILY HEALTH MEDICAL GROUP |
| Practice Address |
1820 Ogden Dr 1st Floor Burlingame CA 94010-5384 |
| Practice Telephone | 6506977202 |
| Practice Fax Number | 6506977059 |
| Mailing Telephone | 6506977202 |
| Mailing Fax Number | 6506977059 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | DR. SUSAN L FULLEMANN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6506977202 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G51875 | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| BURLINGAME FAMILY HEALTH MEDICAL GROUP | Doing Business As Name - Organization |
| Street Address |
1820 OGDEN DR 1ST FLOOR |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-5384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609819630 | Thomas O. Stodgel | Obstetrics & Gynecology | 1820 Ogden Dr, Burlingame, CA 94010-5384 | 2006-06-14 |
| 1275875460 | Jennifer Giacomini | Marriage & Family Therapist | 1820 Ogden Dr, Suite #9, Burlingame, CA 94010-5384 | 2013-03-26 |
| 1871827774 | Michael T. Margolis, Md A Professional Corporation | Obstetrics & Gynecology | 1820 Ogden Dr, Burlingame, CA 94010-5384 | 2009-09-24 |
| 1275700841 | Claire M. Serrato Md, Inc | Obstetrics & Gynecology | 1820 Ogden Dr, #200, Burlingame, CA 94010-5384 | 2008-05-13 |
| 1801063912 | Georgette Demetra Dakis | Nurse Practitioner | 1820 Ogden Dr, 2nd Floor, Burlingame, CA 94010-5384 | 2008-05-08 |
| 1629289087 | Jerry Warren | Psychologist | 1820 Ogden Dr, Burlingame, CA 94010-5384 | 2007-05-25 |
| 1992865729 | Dolores E Ali | Internal Medicine | 1820 Ogden Dr, Second Floor, Burlingame, CA 94010-5384 | 2006-12-11 |
| 1871678953 | Mark Powell | Internal Medicine | 1820 Ogden Dr, Second Floor, Burlingame, CA 94010-5384 | 2006-10-26 |
| 1609982743 | Claire M Serrato | Obstetrics & Gynecology | 1820 Ogden Dr, #200, Burlingame, CA 94010-5333 | 2006-08-22 |
| 1831100965 | Susan L Fullemann | Family Medicine | 1820 Ogden Dr, Suite 200, Burlingame, CA 94010-5384 | 2006-08-11 |
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| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831351295 | Healthy Horizons Lactation Services | Specialist | 720 Howard Ave, Burlingame, CA 94010-3005 | 2008-06-27 |
| 1023134749 | Michael H Girolami Md A Medical Corporation | Specialist | 1750 El Camino Real #11, Burlingame, CA 94010 | 2007-03-22 |
| 1801913306 | Arnold W Goldschlager Md Medical Corporation | Specialist | 1750 El Camino Real Suite 11, Burlingame, CA 94010 | 2007-03-22 |
| 1427142330 | Joy Ying Zhou | Specialist | 1750 El Camino Real Ste 102, Burlingame, CA 94010-3210 | 2006-10-03 |
| 1598858177 | Debra Shapiro | Specialist | 1720 El Camino Real Ste 120, Burlingame, CA 94010-3225 | 2006-10-02 |
| 1497788855 | Charles Nordlinger | Specialist | 1144 Cambridge Rd, Burlingame, CA 94010-3305 | 2006-07-09 |
| 1811499395 | Jenell Marquis | Specialist | 1633 Bayshore Hwy Ste 155, Burlingame, CA 94010-1515 | 2018-03-01 |
| 1114368149 | Tripti Mahendra | Specialist | 1818 Gilbreth Rd, Suite 230, Burlingame, CA 94010-1225 | 2013-07-05 |
| 1861765901 | Victor Liu | Specialist | 1720 El Camino Real, Suite 200, Burlingame, CA 94010-3224 | 2012-02-21 |
| 1093088106 | Alla Skalnyi M.d. Inc. A Professional Corporation | Specialist | 1720 El Camino Real Ste 145, Burlingame, CA 94010-3231 | 2012-02-21 |
| Find all providers in BURLINGAME | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
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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.