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DR. SUSAN LEE IVEY MD
NPI 1003004169
Family Medicine in Berkeley, CA

Active since October 12, 2007
2140 SHATTUCK AVE, 10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH, BERKELEY, CA 94704(510) 643-1883(510) 643-7976 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan Lee Ivey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN LEE IVEY MD (NPI 1003004169) is an individual family medicine provider in Berkeley, California, licensed in California (C43335) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1003004169
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSAN LEE IVEYCredential: MD
Location Address2140 SHATTUCK AVE, 10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPHBerkeley, CA 94704-1210
Mailing Address131 Emerald DrDanville, CA 94526-2426 · (925) 362-8227 · Fax (925) 362-8228
Phone(510) 643-1883
Fax(510) 643-7976
Sole ProprietorNo
Enumeration DateOctober 12, 2007
✔ NPI 1003004169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C43335
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2140 SHATTUCK AVE, Berkeley, CA 94704
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Other Identifiers 1

Medicare UPIND87707CA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERKELEY HEALTH ACUPUNCTURE
Acupuncturist
2140 SHATTUCK AVE, STE 510
BERKELEY, CA 94704
Alameda County (415) 988-1619
DR. SIMARJIT SINGH D.D.S.
Dentist
2140 SHATTUCK AVE
BERKELEY, CA 94704
Alameda County (510) 843-1192
CRYSTAL RASHEIA COOPER
Marriage & Family Therapist
2140 SHATTUCK AVE, SUITE 401A
BERKELEY, CA 94704
Alameda County (510) 214-2020
LIFE BY DESIGN MARRIAGE AND FAMILY THERAPY INC
Counselor (Mental Health)
2140 SHATTUCK AVE
BERKELEY, CA 94704
Alameda County (510) 646-0046
MR. JAY ELI WILLIAMS ASW 27280
Social Worker (Clinical)
2140 SHATTUCK AVE, SUITE 711
BERKELEY, CA 94704
Alameda County (510) 841-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Ivey's NPI number?

The NPI number for Susan Ivey is 1003004169. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Susan Ivey located?

Susan Ivey practices at 2140 Shattuck Ave 10th Floor, Health Research For Action, Uc-Berkeley Sph, Berkeley, CA 94704. The listed phone number is (510) 643-1883.

What is Susan Ivey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Susan Ivey was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.