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SUSAN K BODTKE M.D.
NPI 1871729962
Family Medicine - Adult Medicine in San Diego, CA

Active since June 03, 2009
4311 3RD AVE, SAN DIEGO, CA 92103(619) 688-1600(619) 688-3099 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan K Bodtke M.d. NPPES

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

SUSAN K BODTKE M.D. (NPI 1871729962) is an individual adult medicine provider in San Diego, California, licensed in California (G88460) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1871729962
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameSUSAN K BODTKECredential: M.D.
Location Address4311 3RD AVESan Diego, CA 92103-1407
Mailing Address4311 3rd AveSan Diego, CA 92103-1407 · (619) 688-1600 · Fax (619) 688-3099
Phone(619) 688-1600
Fax(619) 688-3099
Sole ProprietorNo
Enumeration DateJune 3, 2009
Last NPPES UpdateMarch 1, 2013
✔ NPI 1871729962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · G88460
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4311 3RD AVE, San Diego, CA 92103
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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.

LIANE FRY
Marriage & Family Therapist
4311 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 278-6516
CARRIE ANN NELSON-VASQUEZ M.D.
Family Medicine
4311 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 688-1600
MS. ARLENE CRAMER FNP
Nurse Practitioner (Family)
4311 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 688-1600
HORIZON HOSPICE, INC
Hospice Care, Community Based
4311 3RD AVE, SUITE C
SAN DIEGO, CA 92103
San Diego County (619) 452-7050
LORRAINE GOODWIN FNP
Nurse Practitioner (Family)
4311 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 688-1600
SAN DIEGO HOSPICE & PALLIATIVE CARE CORPORATION
Hospice Care, Community Based
4311 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 688-1600
DR. SHANNON YVETTE MOORE MD, MPH
Internal Medicine (Hospice and Palliative Medicine)
4311 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 278-6533
DR. NEGIN SALIMI D.O.
Physical Medicine & Rehabilitation (Hospice and Palliative Medicine)
4311 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 688-1600

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 Bodtke's NPI number?

The NPI number for Susan Bodtke is 1871729962. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Susan Bodtke located?

Susan Bodtke practices at 4311 3rd Ave, San Diego, CA 92103. The listed phone number is (619) 688-1600.

What is Susan Bodtke's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Susan Bodtke was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.