JOANNE AMALA SUPERSAD MD
NPI 1013096148
Pediatrics - Adolescent Medicine in Martinez, CA
About Joanne Amala Supersad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANNE AMALA SUPERSAD MD (NPI 1013096148) is an individual adolescent medicine provider in Martinez, California, licensed in California (G51939) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARTINEZ, CA 94553
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 Joanne Supersad's NPI number?
The NPI number for Joanne Supersad is 1013096148. It was assigned to this individual provider in the NPPES registry on November 2, 2006.
Where is Joanne Supersad located?
Joanne Supersad practices at 200 Muir Rd, Martinez, CA 94553. The listed phone number is (925) 372-1000.
What is Joanne Supersad's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
When was this NPI record last updated?
The NPPES record for Joanne Supersad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Joanne Amala Supersad, MD · NPI 1013096148
Adolescent Medicine physician in Martinez, California. Individual provider, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1013096148 (Entity type: Individual)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** G51939 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MUIR RD, Martinez, CA 94553-4614
- **Phone:** (925) 372-1000
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 00G519390; Medicaid 00G519390 (CA); Medicare UPIN G51939
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Source: [NPI Profile](https://npiprofile.com/npi/1013096148) · Data from the CMS NPPES public registry.