SUSEELA DASARI M.D. NPI 1982658548

NPI Information

NPI: 1982658548
Provider Name: SUSEELA DASARI, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
3641 W 5TH ST
OXNARD, CA
ZIP 93030
Phone: (805) 985-5505
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Suseela Dasari, M.D. is a pediatrics in Oxnard, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Suseela Dasari, M.D. NPI is 1982658548. 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:

3641 W 5TH ST
OXNARD, CA
ZIP 93030-424
Phone: (805) 985-5505
Fax: (805) 984-6095

The enumeration date for this NPI number is 5/19/2006 and was last updated on 9/19/2012.

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	208000000X	Pediatrics		C51082	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	RHM08609F	MEDICAID	CALIFORNIA
2	RHM08608F	MEDICAID	CALIFORNIA
3	ZZT40394F	MEDICAID	CALIFORNIA
4	058553	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	RH MEDICARE
5	058608	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	RH MEDICARE
6	050394	OTHER	CALIFORNIA	BLUE CROSS
7	951683892	OTHER	CALIFORNIA	OTHER INSURANCE
8	050394	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE
9	00C510820	MEDICAID	CALIFORNIA
10	058609	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	RH MEDICARE
11	RHM18553H	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: 11/14/2023

NPI Synchronization or Removal

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