SUZY MENJIVAR NP
NPI 1265218705
Nurse Practitioner in Oakland, CA

Q: What is Suzy Menjivar's NPI number?

The NPI number for Suzy Menjivar is 1265218705. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Q: What is Suzy Menjivar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Suzy Menjivar was last updated on August 31, 2023. 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.

Active since August 31, 2023

1515 FRUITVALE AVE, OAKLAND, CA 94601(510) 535-6300(510) 535-4019 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Suzy Menjivar Np NPPES

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

SUZY MENJIVAR NP (NPI 1265218705) is an individual nurse practitioner in Oakland, California, licensed in California (95026028) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1265218705

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUZY MENJIVARCredential: NP

Location Address1515 FRUITVALE AVEOakland, CA 94601-2355

Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189

Phone(510) 535-6300

Fax(510) 535-4019

Sole ProprietorNo

Enumeration DateAugust 31, 2023

NPPES CertifiedAugust 31, 2023

✔ NPI 1265218705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95026028

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1515 FRUITVALE AVE, Oakland, CA 94601

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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.

ASANO FLOY FERTIG MD

Family Medicine