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DR. SUSAN LONDERVILLE M.D. NPI 1760419055


NPI Information

NPI: 1760419055
Provider Name: DR. SUSAN LONDERVILLE, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
1546 LA LOMA AVE
BERKELEY, CA
ZIP 94708
Phone: (510) 868-4181
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DR. Susan Londerville, M.D. is an internal medicine in Berkeley, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Susan Londerville, M.D. NPI is 1760419055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1546 LA LOMA AVE
BERKELEY, CA
ZIP 94708-034
Phone: (510) 868-4181

The enumeration date for this NPI number is 6/26/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineG71492CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G714920MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200G714920OTHERCALIFORNIABLUE SHIELD
3F35555MEDICARE UPINCALIFORNIA

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

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