DR. SUSAN KAWESKI M.D. F.A.C.S. NPI 1629076856

NPI Information

NPI: 1629076856
Provider Name: DR. SUSAN KAWESKI, M.D., F.A.C.S.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
8415 GRANT AVE
LA MESA, CA
ZIP 91941
Phone: (619) 464-9876
Get Directions

DR. Susan Kaweski, M.D., F.A.C.S. is a plastic and reconstructive surgery surgery in La Mesa, CA with 41 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Susan Kaweski, M.D., F.A.C.S. NPI is 1629076856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1983

The provider's business location address is:

8415 GRANT AVE
LA MESA, CA
ZIP 91941-303
Phone: (619) 464-9876
Fax: (616) 464-9877

The NPI 1629076856 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 4/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	170100000X	Medical Genetics, Ph.D. Medical Genetics		G53909	PENNSYLVANIA	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	G53909	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1145416243	MEDICAID	CALIFORNIA
2	1629076856	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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