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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSANA JUDITH PRAVER PAC
NPI 1255434452
Physician Assistant - Medical in Oakland, CA

Active since September 06, 2006
3451 E 12TH ST, OAKLAND, CA 94601(510) 535-3317(510) 535-4248 Get Directions Write a Review

NPPES record last updated: September 6, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Susana Judith Praver Pac NPPES

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

SUSANA JUDITH PRAVER PAC (NPI 1255434452) is an individual medical provider in Oakland, California, licensed in California (PA10842) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1255434452
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSANA JUDITH PRAVERCredential: PAC
Location Address3451 E 12TH STOakland, CA 94601
Mailing Address1601 Fruitvale AveOakland, CA 94601-2322 · (510) 535-4000 · Fax (510) 535-4128
Phone(510) 535-3317
Fax(510) 535-4248
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateSeptember 6, 2026
✔ NPI 1255434452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA10842
3451 E 12TH ST, Oakland, CA 94601
Open in Google Maps ↗

Other Names 1

Other Name (5)Shoshana Judith Praver

Other Identifiers 4

OtherHAP72021FCA · Fpact
MedicaidFHC71021FCA
Other55-1975CA · Fqhc Medicare Part A
OtherZZZ29799ZCA · Fqhc Medicare Part B

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.

DR. KEN MAKIO MARRINER M.D.
Family Medicine
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500
MS. MARSHA L GUBSER LCSW
Social Worker (Clinical)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (925) 363-2005
REBECCA RUSH RN
Registered Nurse (Community Health)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3735
MONICA SAN BASILIO FNP
Nurse Practitioner
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500
SIVAN SADEH FNP-C
Nurse Practitioner (Family)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500
ANNA GABRIELA YCAZA RN,FNP-C
Nurse Practitioner (Family)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-2940
LAYLA WELBORN FNP
Nurse Practitioner (Family)
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500
DR. JESSIE LIU MD
Hospitalist
3451 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 535-3500

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 Praver's NPI number?

The NPI number for Susana Praver is 1255434452. It was assigned to this individual provider in the NPPES registry on September 6, 2006. The provider is also known as Shoshana Judith Praver.

Where is Susana Praver located?

Susana Praver practices at 3451 E 12th St, Oakland, CA 94601. The listed phone number is (510) 535-3317.

What is Susana Praver's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Susana Praver was last updated on September 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.