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SUSAN SUZUKI WELLBORN NURSE PRACTITIONER
NPI 1578699484
Nurse Practitioner - Family in Long Beach, CA

Active since February 26, 2007PECOS Enrolled
1043 ELM AVE, SUITE 300, LONG BEACH, CA 90813(562) 624-4908(562) 491-9128 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Suzuki Wellborn Nurse Practitioner NPPES

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

SUSAN SUZUKI WELLBORN NURSE PRACTITIONER (NPI 1578699484) is an individual family provider in Long Beach, California, licensed in California (283744) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578699484
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN SUZUKI WELLBORNCredential: NURSE PRACTITIONER
Location Address1043 ELM AVE, SUITE 300Long Beach, CA 90813-3271
Mailing Address1043 Elm Ave, Suite 300Long Beach, CA 90813-3271 · (562) 624-4908 · Fax (562) 491-9128
Phone(562) 624-4908
Fax(562) 491-9128
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateNovember 5, 2010
✔ NPI 1578699484 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 · 283744
1043 ELM AVE, Long Beach, CA 90813
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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)

Susan Suzuki Wellborn Nurse Practitioner 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 90813 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 16

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

DR. THOMAS CHARLES GATES MD
Radiology (Radiation Oncology)
1043 ELM AVE
LONG BEACH, CA 90813
Los Angeles County (951) 691-5123
STEFAN SCHNEIDER MD
Internal Medicine (Infectious Disease)
1043 ELM AVE, SUITE 300
LONG BEACH, CA 90813
Los Angeles County (562) 624-4999
DR. SASSAN FARJAMI M.D.
Internal Medicine (Hematology & Oncology)
1043 ELM AVE, STE 104
LONG BEACH, CA 90813
Los Angeles County (562) 590-0345
DR. FRANCISCA MATA MD
Family Medicine
1043 ELM AVE
LONG BEACH, CA 90813
Los Angeles County (562) 432-5122
ST. MARYS RADIATION ONCOLOGY MEDICAL GROUP
Clinic/Center (Oncology, Radiation)
1043 ELM AVE, SUITE 110
LONG BEACH, CA 90813
Los Angeles County (909) 263-0321
CITY OF HOPE MEDICAL FOUNDATION
Internal Medicine (Hematology & Oncology)
1043 ELM AVE, STE 104
LONG BEACH, CA 90813
Los Angeles County (562) 590-0345
JEROME DE VENTE MD
Internal Medicine (Infectious Disease)
1043 ELM AVE, SUITE 300
LONG BEACH, CA 90813
Los Angeles County (562) 624-4999
JOSEPHINE CORREIA
Nurse Practitioner (Family)
1043 ELM AVE, ST. 302
LONG BEACH, CA 90813
Los Angeles County (568) 247-7740

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 Susan Wellborn's NPI number?

The NPI number for Susan Wellborn is 1578699484. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Susan Wellborn located?

Susan Wellborn practices at 1043 Elm Ave Suite 300, Long Beach, CA 90813. The listed phone number is (562) 624-4908.

What is Susan Wellborn's specialty?

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

Is Susan Wellborn enrolled in Medicare?

Yes. Susan Wellborn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Wellborn was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.