MS. SUSAN ELAINE O'MALLEY (NPI# 1568429447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568429447 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ELAINE O'MALLEY |
| Practice Address |
2410 Samaritan Dr Suite 201 San Jose CA 95124-3909 |
| Practice Telephone | 4083719010 |
| Practice Fax Number | 4083712633 |
| Mailing Telephone | 4083719010 |
| Mailing Fax Number | 4083712633 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12011 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 260226 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | 0PA120110 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336586502 | Susan Mary O'malley | Internal Medicine | 869 Boston Post Rd, Madison, CT 06443-3144 | 2013-05-29 |
| 1083993018 | Susan O'malley | Dietitian, Registered | 301 Hospital Dr, Baltimore Washington Medical Center (umms), Glen Burnie, MD 21061-5803 | 2011-08-09 |
| 1629106513 | Susan Kathleen O'malley | Counselor | 1222 Medical Center Dr, Columbia, TN 38401-6402 | 2007-03-01 |
| 1376588293 | Susan Anne O'malley | Emergency Medicine | 101 Hospital Rd, Medical Center, Patchogue, NY 11772-4870 | 2006-06-17 |
| 1902861735 | Susan L O'malley | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-04-17 |
| Street Address |
2410 SAMARITAN DR SUITE 201 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285612812 | Endoscopy Center of Silicon Valley Inc. | Clinic/Center | 2410 Samaritan Dr, 101, San Jose, CA 95124 | 2006-01-04 |
| 1952724593 | Premier Imaging Medical Associates Inc. | Specialist | 2410 Samaritan Dr, Suite 101, San Jose, CA 95124-3909 | 2014-02-03 |
| 1336441310 | Vip Vein Center | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2010-11-24 |
| 1033448782 | Endoscopy Surgery Center of Silicon Valley LLC | Clinic/Center | 2410 Samaritan Dr, Suite 101, San Jose, CA 95124-3909 | 2009-12-09 |
| 1326059551 | Matthew Thien Tran | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-11 |
| 1609887371 | Yueh-ju Yale Chung | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-10 |
| 1588675243 | Anup Kumar Singh | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-10 |
| 1053321471 | Rajeev Lal Tandon | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-08 |
| 1760492177 | Kenneth Cham Ong | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-08 |
| 1649289513 | Stuart Irwin Mass | Radiology | 2410 Samaritan Dr, Suite 102, San Jose, CA 95124-3909 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1508416207 | Shelley Brunkan | Physician Assistant | 227 Giddings Ct, San Jose, CA 95139-1421 | 2019-09-14 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
| Find all providers in SAN JOSE | ||||
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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.