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SUSANA QUEZADA
NPI 1043042112
Nurse Practitioner - Family in Oakland, CA

Active since August 16, 2024PECOS Enrolled
2629 KINGSLAND AVE, OAKLAND, CA 94619(818) 400-3410 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Susana Quezada NPPES

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

SUSANA QUEZADA (NPI 1043042112) is an individual family provider in Oakland, California, licensed in California (95029472) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043042112
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSANA QUEZADA
Location Address2629 KINGSLAND AVEOakland, CA 94619-3219
Mailing Address2629 Kingsland AveOakland, CA 94619-3219 · (818) 400-3410
Phone(818) 400-3410
Sole ProprietorYes
Enumeration DateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
✔ NPI 1043042112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95029472
2629 KINGSLAND AVE, Oakland, CA 94619
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susana Quezada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94619 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Susana Quezada's NPI number?

The NPI number for Susana Quezada is 1043042112. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Susana Quezada located?

Susana Quezada practices at 2629 Kingsland Ave, Oakland, CA 94619. The listed phone number is (818) 400-3410.

What is Susana Quezada's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susana Quezada enrolled in Medicare?

Yes. Susana Quezada is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susana Quezada was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.