DR. SUSAN LEE DASTA D.O.
NPI 1851452635
Family Medicine in Glendale, CA
About Dr. Susan Lee Dasta D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN LEE DASTA D.O. (NPI 1851452635) is an individual family medicine provider in Glendale, California, licensed in Missouri (2002019232) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Susan Lee Dasta D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Susan Dasta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, CA 91206
- Reassigned Medicare billing, California enrollment
- 139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GLENDALE, CA 91206
GLENDALE, CA 91206
GLENDALE, CA 91206
GLENDALE, CA 91206
GLENDALE, CA 91206
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 Dasta's NPI number?
The NPI number for Susan Dasta is 1851452635. It was assigned to this individual provider in the NPPES registry on December 13, 2006.
Where is Susan Dasta located?
Susan Dasta practices at 1560 E Chevy Chase Dr 245, Glendale, CA 91206. The listed phone number is (818) 246-5900.
What is Susan Dasta's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Susan Dasta enrolled in Medicare?
Yes. Susan Dasta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Susan Dasta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Dasta reassigns Medicare benefits to Adventist Health Physicians Network (Glendale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Dasta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Dasta was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Susan Lee Dasta, D.O. · NPI 1851452635
Family Medicine physician in Glendale, California. Individual provider, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1851452635 (Entity type: Individual)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2002019232 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1560 E CHEVY CHASE DR, 245, Glendale, CA 91206-4197
- **Phone:** (818) 246-5900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Adventist Health Physicians Network (NPI 1083976294, Glendale, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** July 1, 2016
- **Other identifiers:** Medicaid 200587160B (KS); Other 31636039; Medicare ID-Type Unspecified 000C178 (MO); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1851452635) · Data from the CMS NPPES public registry.