MISS SUZANNE FAIR ROTH NURSE PRACTITIONER
NPI 1316906076
Nurse Practitioner - Family in San Diego, CA

Active since March 21, 2006
1501 FRONT ST, 643, SAN DIEGO, CA 92101(619) 889-7684 Get Directions Write a Review

NPPES record last updated: August 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Suzanne Fair Roth Nurse Practitioner NPPES

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

MISS SUZANNE FAIR ROTH NURSE PRACTITIONER (NPI 1316906076) is an individual family provider in San Diego, California, licensed in California (RN 252378) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1316906076
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS SUZANNE FAIR ROTHCredential: NURSE PRACTITIONER
Location Address1501 FRONT ST, 643San Diego, CA 92101-2973
Mailing AddressPo Box 81524San Diego, CA 92138-1524 · (619) 889-7684 · Fax (619) 889-7684
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateAugust 9, 2013
NPI 1316906076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · RN 252378
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 14948 (CA)
1501 FRONT ST, San Diego, CA 92101

Other Providers at the Same Location NPPES

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

Psychologist (School)
1501 FRONT ST, UNIT 534
SAN DIEGO, CA 92101

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 Suzanne Roth's NPI number?

The NPI number for Suzanne Roth is 1316906076. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Suzanne Roth located?

Suzanne Roth practices at 1501 Front St 643, San Diego, CA 92101. The listed phone number is (619) 889-7684.

What is Suzanne Roth's specialty?

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

When was this NPI record last updated?

The NPPES record for Suzanne Roth was last updated on August 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.