SUSAN KAWESKI M.D. A PROFESSIONAL NPI 1154516243

NPI Information

  • NPI: 1154516243
  • Provider Name: SUSAN KAWESKI, M.D. A PROFESSIONAL
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 8415 GRANT AVE
    LA MESA, CA
    ZIP 91941
  • Phone: (619) 464-9876

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NPI Details

SUSAN KAWESKI, M.D. A PROFESSIONAL is a specialist in La Mesa, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUSAN KAWESKI, M.D. A PROFESSIONAL NPI is 1154516243. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

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

The provider's authorized official is Susan Kaweski .
The authorized official title is President and has the following contact phone number (619) 464-9876.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 6/11/2009.

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
1174400000XSpecialistG53909CALIFORNIAYes

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
11629076856OTHERCALIFORNIANPI
2W17191MEDICARE PINCALIFORNIA
3G37658MEDICARE UPINCALIFORNIA
4CGP163644MEDICAIDCALIFORNIA

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: 3/30/2025

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