SUSAN PENG (NPI# 1619061033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619061033 |
| Entity Type | Individual |
| Full Name | SUSAN PENG |
| Credential | MD |
| Practice Address |
3200 Kearney St Fremont CA 94538-2299 |
| Mailing Address |
2350 W. El Camino Real 2nd Floor Mountain View CA 94040-6203 |
| Practice Telephone | 5104901222 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A89076 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130916 | Susan Peng | Nurse Practitioner | 501 Morris St, Charleston, WV 25301-1326 | 2019-02-12 |
| Street Address |
3200 KEARNEY ST |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-2299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034556 | Aruna Reddy | Family Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2005-06-22 |
| 1528546074 | Phoenix Di Ying | Physician Assistant | 3200 Kearney St, Fremont, CA 94538-2299 | 2018-08-06 |
| 1235625054 | Reetu Nigam | Dietitian, Registered | 3200 Kearney St, Fremont, CA 94538-2299 | 2018-07-04 |
| 1700378460 | Amrit Kaur Bola | Nurse Practitioner | 3200 Kearney St, Fremont, CA 94538 | 2018-05-30 |
| 1154840767 | Rodger Ruby | Family Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-09-14 |
| 1669908968 | Lena Y Sun | Podiatrist | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-05-04 |
| 1396279964 | Dipal Savla | Pediatrics | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-04-20 |
| 1851823421 | Phuoc Thanh Dinh Vu | Family Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-04-01 |
| 1215477377 | Erin Hodgson | Dietitian, Registered | 3200 Kearney St, Fremont, CA 94538-2299 | 2017-03-08 |
| 1174071013 | Sarah Monje | Dietitian, Registered | 3200 Kearney St, Fremont, CA 94538-2299 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659767572 | Asian Healthlink | Internal Medicine | 2147 Mowry Ave Ste D3, Fremont, CA 94538-1724 | 2015-04-07 |
| 1942553391 | Allison C Carmichael | Internal Medicine | 3200 Kearney St., Fremont, CA 94538-2299 | 2012-10-23 |
| 1629380464 | Jaisri Tomara Maharaj | Internal Medicine | 2333 Mowry Ave Ste 300, Fremont, CA 94538-1626 | 2010-07-09 |
| 1003002049 | Lakshmi Srinivasan | Internal Medicine | 3200 Kearney St, Fremont, CA 94538-2299 | 2007-09-24 |
| 1235163866 | Prasad Katta | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-07-10 |
| 1225062532 | Washington Medical Group | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-07-10 |
| 1295780542 | Edward John Meyer | Internal Medicine | 2333 Mowry Ave, Ste 300, Fremont, CA 94538-1626 | 2006-05-24 |
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| 1821612565 | Almoutaz Bellah Shakally Md, Inc | Internal Medicine | 7462 Schuyler Ct, Rancho Cucamonga, CA 91730-8305 | 2020-05-28 |
| 1366061863 | Karen L. Herbst, Md, PC | Internal Medicine | 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 | 2020-04-14 |
| 1619502572 | Pacific Endocrinology | Internal Medicine | 1855 1st Ave Ste 200b, San Diego, CA 92101-2685 | 2020-03-11 |
| 1659910743 | Robert Alan Rubin | Internal Medicine | 403 Paseo Miramar, Redondo Beach, CA 90277-6288 | 2020-01-06 |
| 1336790914 | Northeast Community Clinic | Internal Medicine | 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 | 2019-09-24 |
| 1124585393 | Steady Health Inc | Internal Medicine | 100 Bush St Ste 1600, San Francisco, CA 94104-3918 | 2019-02-25 |
| 1780140673 | Jennifer Anne Nuovo | Internal Medicine | 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 | 2019-02-15 |
| 1407324379 | Chrysalis Health of California | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-11-08 |
| 1881172864 | Todd Lorenz | Internal Medicine | 5 Robert Rd, Orinda, CA 94563-3215 | 2018-08-01 |
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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.