1. Home
  2. Directory
  3. California
  4. Emeryville
  5. Physician Assistant
  6. NPI Profile

SUSAN BEYER BERTELSEN P.A.-C.
NPI 1790809739
Physician Assistant in Emeryville, CA

Active since March 16, 2007
2100 POWELL ST STE 900, CEP - MEDAMERICA PROVIDER ENROLLMENT, EMERYVILLE, CA 94608(510) 350-2676(510) 879-9100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Beyer Bertelsen P.a.-c. NPPES

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

SUSAN BEYER BERTELSEN P.A.-C. (NPI 1790809739) is an individual physician assistant in Emeryville, California, licensed in California (PA11214) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1790809739
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN BEYER BERTELSENCredential: P.A.-C.
Location Address2100 POWELL ST STE 900, CEP - MEDAMERICA PROVIDER ENROLLMENTEmeryville, CA 94608-1844
Mailing Address3955 Duncan PlPalo Alto, CA 94306-4551 · (650) 493-6630
Phone(510) 350-2676
Fax(510) 879-9100
Sole ProprietorYes
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790809739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA11214
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2100 POWELL ST STE 900, Emeryville, CA 94608
Open in Google Maps ↗

Other Identifiers 1

OtherPA11214CA · Physician's Assistant

Other Providers at the Same Location NPPES 17

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

ROBERT KIM MD
Emergency Medicine
2100 POWELL ST STE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
MELISSA ANNE MARINO P.A.
Physician Assistant
2100 POWELL ST STE 900, CEP - MEDAMERICA - CREDENTIALING DEPT.
EMERYVILLE, CA 94608
Alameda County (510) 350-2664
MELVIN DOUGLAS MONSEN P.A.-C.
Physician Assistant
2100 POWELL ST STE 900, CEP - MEDAMERICA CREDENTIALING DEPT.
EMERYVILLE, CA 94608
Alameda County (510) 350-2676
MR. ROUGEH TALAAT AWAD FNP
Nurse Practitioner (Family)
2100 POWELL ST STE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2732
ALEXIS MARIE MANNEH PA-C
Physician Assistant
2100 POWELL ST STE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
DR. MATTHEW PAUL MITCHELL BREWER D.O.
Emergency Medicine
2100 POWELL ST STE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
GOODWILL C PRINCEWILL
Physician Assistant
2100 POWELL ST STE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2600
LORI MICHELLE PETROFF PA-C
Physician Assistant (Medical)
2100 POWELL ST STE 900
EMERYVILLE, CA 94608
Alameda County (510) 350-2657

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 Bertelsen's NPI number?

The NPI number for Susan Bertelsen is 1790809739. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Susan Bertelsen located?

Susan Bertelsen practices at 2100 Powell St Ste 900 Cep - Medamerica Provider Enrollment, Emeryville, CA 94608. The listed phone number is (510) 350-2676.

What is Susan Bertelsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Susan Bertelsen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.