DR. SUSAN L MALLORY M.D.
NPI 1730107400
Pediatrics in Paradise, CA

Active since July 18, 2006PECOS Enrolled
6480 PENTZ RD, SUITE E, PARADISE, CA 95969(530) 877-5437(530) 877-5692 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan L Mallory M.d. NPPES

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

DR. SUSAN L MALLORY M.D. (NPI 1730107400) is an individual pediatrics provider in Paradise, California, licensed in California (G78212) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730107400
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN L MALLORYCredential: M.D.
Location Address6480 PENTZ RD, SUITE EParadise, CA 95969-3672
Mailing Address6470 Pentz Rd, Suite AParadise, CA 95969-3674 · (530) 872-6650 · Fax (530) 872-6653
Fax(530) 877-5692
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateMay 9, 2011
NPI 1730107400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · G78212
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6480 PENTZ RD, Paradise, CA 95969

Other Identifiers 2

OtherZZZ01920ZCA · Blue Shield
Medicare UPING10641CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan L Mallory M.d. 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 95969 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 5

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

Internal Medicine (Pulmonary Disease)
6480 PENTZ RD, SUITE C
PARADISE, CA 95969
Physician Assistant (Medical)
6480 PENTZ RD, SUITE B
PARADISE, CA 95969
Specialist
6480 PENTZ RD, SUITE A
PARADISE, CA 95969
Surgery
6480 PENTZ RD, SUITE A
PARADISE, CA 95969
Surgery
6480 PENTZ RD, SUITE A
PARADISE, CA 95969

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 Mallory's NPI number?

The NPI number for Susan Mallory is 1730107400. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Susan Mallory located?

Susan Mallory practices at 6480 Pentz Rd Suite E, Paradise, CA 95969. The listed phone number is (530) 877-5437.

What is Susan Mallory's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Mallory enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Mallory was last updated on May 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.