SUSANNA NICHOLASS (NPI# 1598922882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598922882 |
| Entity Type | Individual |
| Full Name | SUSANNA NICHOLASS |
| Credential | MD |
| Practice Address |
5957 W Ramsey St Banning CA 92220-3058 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9518450313 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A107871 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5957 W RAMSEY ST |
| City | BANNING |
| State | CA |
| Zip Code | 92220-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699715714 | Glenda M. Yetter | Nurse Practitioner | 5957 W Ramsey St, Banning, CA 92220-3058 | 2006-06-07 |
| 1679944565 | Cindy Lerch | Physician Assistant | 5957 W Ramsey St, Banning, CA 92220-3058 | 2015-10-17 |
| 1437564143 | Beaver Medical Group Ramsey Primary | Non-Pharmacy Dispensing Site | 5957 W Ramsey St, Second Floor Pod D, Banning, CA 92220-3058 | 2014-06-23 |
| 1487085403 | Janet Cooper | Nurse Practitioner | 5957 W Ramsey St, Banning, CA 92220-3058 | 2013-12-01 |
| 1316240971 | Susan Jane Sheedy | Nurse Practitioner | 5957 W Ramsey St, Banning, CA 92220-3058 | 2010-12-20 |
| 1447564513 | Hong Vo | Internal Medicine | 5957 W Ramsey St, Banning, CA 92220-3058 | 2010-08-01 |
| 1861705030 | Todd Nguyen | Family Medicine | 5957 W Ramsey St, Banning, CA 92220-3058 | 2010-07-16 |
| 1558525220 | Robert Reagan Suong | Obstetrics & Gynecology | 5957 W Ramsey St, Banning, CA 92220-3058 | 2008-07-11 |
| 1508052010 | Mark Anthony Mayrina Santos | Family Medicine | 5957 W Ramsey St, Banning, CA 92220-3058 | 2007-09-18 |
| 1457372179 | Beaver Medical Group, Lp | Family Medicine | 5957 W Ramsey St, Banning, CA 92220-3058 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922447218 | Burton Timothy Wang | Family Medicine | 264 N Highland Springs Ave Ste 4&5a, Banning, CA 92220-3082 | 2013-06-19 |
| 1811014392 | Roy Kyung-won Kim | Family Medicine | 11555 One-half Potrero Rd, Banning, CA 92220 | 2007-03-22 |
| 1063591915 | Michael Raymund Oliverio Jr. | Family Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2006-11-03 |
| 1164433314 | Zakia Raana | Family Medicine | 6109 West Ramsey St, Banning, CA 92220-3051 | 2006-08-11 |
| 1528053303 | Frederick J Lloyd | Family Medicine | 264 N Highland Springs Ave, Banning, CA 92220-3082 | 2005-09-16 |
| 1710988563 | Richard Kirk Welsh | Family Medicine | Riverside-san Bernardino County Indian Health, Inc., 11555 1/2 Potrero Rd., Banning, CA 92220 | 2005-08-02 |
| 1376185843 | First Americans Medical Group, Inc. | Family Medicine | 12359 Malki Rd, Banning, CA 92220-6974 | 2019-10-16 |
| 1710415492 | Oliverio Medical Corporation | Family Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2017-05-25 |
| 1396184685 | Candice Ji Eun Lee-wang | Family Medicine | 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 | 2013-06-19 |
| 1114275930 | Brigitte Yvonne Willis | Family Medicine | 1627 S Hargrave St, Banning, CA 92220 | 2012-08-28 |
| Find all providers in BANNING | ||||
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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.