SUSAN CAROLINE DITMYER NP
NPI 1376680025
Nurse Practitioner - Pediatrics in Oakland, CA
Active since January 31, 2007
744 52ND ST, SUITE 5203, OAKLAND, CA 94609(510) 428-3885(510) 597-7034 Get Directions Write a Review
About Susan Caroline Ditmyer Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN CAROLINE DITMYER NP (NPI 1376680025) is an individual pediatrics provider in Oakland, California, licensed in California (NPF 10382) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1376680025
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUSAN CAROLINE DITMYERCredential: NP
Location Address744 52ND ST, SUITE 5203Oakland, CA 94609-1809
Mailing Address744 52nd St, Suite 5203Oakland, CA 94609-1809 · (510) 428-3885 · Fax (510) 597-7034
Phone(510) 428-3885
Fax(510) 597-7034
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376680025 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · NPF 10382
744 52ND ST, Oakland, CA 94609
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.
Otolaryngology (Pediatric Otolaryngology)
744 52ND ST, STE 4200
OAKLAND, CA 94609
OAKLAND, CA 94609
Surgery (Pediatric Surgery)
744 52ND ST, SUITE 4100
OAKLAND, CA 94609
OAKLAND, CA 94609
Otolaryngology (Plastic Surgery within the Head & Neck)
744 52ND ST, SUITE 4200
OAKLAND, CA 94609
OAKLAND, CA 94609
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376680025, enumerated as an "individual" on January 31, 2007.
The provider is located at 744 52ND ST SUITE 5203 OAKLAND, CA 94609 and the phone number is (510) 428-3885.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
