MRS. SUSAN SALZWEDEL PA-C NPI 1891822045

NPI Information

NPI: 1891822045
Provider Name: MRS. SUSAN SALZWEDEL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
5522 SEPULVEDA BLVD
SHERMAN OAKS, CA
ZIP 91411
Phone: (818) 990-5020
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MRS. Susan Salzwedel, PA-C is a surgical physician assistant in Sherman Oaks, CA with 28 years of experience. MRS. Susan Salzwedel, PA-C NPI is 1891822045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

5522 SEPULVEDA BLVD
SHERMAN OAKS, CA
ZIP 91411-437
Phone: (818) 990-5020
Fax: (818) 990-8549

The NPI 1891822045 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 2/27/2007 and was last updated on 3/7/2023.

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	207Q00000X	Family Medicine		PA14060	CALIFORNIA	No
2	363L00000X	Nurse Practitioner		NP014060	CALIFORNIA	No
3	363AS0400X	Physician Assistant	Surgical	PA14060	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	NP014060	OTHER	CALIFORNIA	MEDICAL LICENSE
2	13578042	OTHER		CAQH

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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