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Search › California › 104100000X

Samantha Susa

NPI 1972096352 · on the registry since 2018 · sole proprietor

Practice

Address
1351 24th Ave
San Francisco, CA 94122
Phone
(628) 754-8200
Fax
(628) 217-7506
Organisation at this address
Sunset Team Ii
City & County Of San Francisco
City & County Of San Francisco
City & County Of San Francisco
City & County Of San Francisco
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
172V00000X
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California