SUSAN SIGNORELLI (NPI# 1982159802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982159802 |
| Entity Type | Individual |
| Full Name | SUSAN SIGNORELLI |
| Credential | PA-C |
| Practice Address |
18 Bon Air Rd San Francisco CA 94939 |
| Mailing Address |
4940 Eastern Ave Suite A Baltimore MD 21224-2735 |
| Practice Telephone | 4159275300 |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA57505 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0006201 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18 BON AIR RD |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| Find all providers in zip 94939 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629267703 | Eric Alan Steckelman | Physician Assistant | 1634 Page St, San Francisco, CA 94117-2020 | 2007-10-15 |
| 1306049275 | Lynn Marie Beaudry | Physician Assistant | 2100 Webster St Ste 331, San Francisco, CA 94115-2378 | 2007-06-07 |
| 1346288495 | Julie Marie Gennarino | Physician Assistant | 350 Parnassus, Suite 105, San Francisco, CA 94143-0001 | 2006-06-02 |
| 1154389153 | Catherine Willenborg | Physician Assistant | 2898 Broadway St, San Francisco, CA 94115-1061 | 2006-05-02 |
| 1912423286 | Nicholas Elena | Physician Assistant | 450 Sutter St Rm 400, San Francisco, CA 94108-3907 | 2017-08-18 |
| 1790231801 | An Hong Tran | Physician Assistant | 500 Parnassus Ave, San Francisco, CA 94143-2203 | 2016-08-29 |
| 1902278393 | Beata Jaron | Physician Assistant | 77 Van Ness Ave Apt 302, San Francisco, CA 94102-6042 | 2015-10-23 |
| 1316344674 | Jessica Robinson | Physician Assistant | 1100 Van Ness Ave, San Francisco, CA 94109-6978 | 2014-12-01 |
| 1417350976 | Shannon Lenore Farrell | Physician Assistant | Department of Neurological Surgery Ucsf, 400 Parnassus Avenue, Room A311, San Francisco, CA 94143-0332 | 2014-09-29 |
| 1376967653 | Alex David Friedman | Physician Assistant | 77 Van Ness Ave, Suite 302, San Francisco, CA 94102-6041 | 2014-02-07 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94939 |
Please comment or provide details below to improve the information on SUSAN SIGNORELLI.
| 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.