SUSAN BEYER BERTELSEN P.A.-C. NPI 1790809739

NPI Information

  • NPI: 1790809739
  • Provider Name: SUSAN BEYER BERTELSEN, P.A.-C.
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 2100 POWELL ST STE 900
    CEP - MEDAMERICA PROVIDER ENROLLMENT
    EMERYVILLE, CA
    ZIP 94608
  • Phone: (510) 350-2676

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NPI Details

Susan Beyer Bertelsen, P.A.-C. is a physician assistant in Emeryville, CA. The provider is 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. Susan Beyer Bertelsen, P.A.-C. NPI is 1790809739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 POWELL ST STE 900
CEP - MEDAMERICA PROVIDER ENROLLMENT
EMERYVILLE, CA
ZIP 94608-844
Phone: (510) 350-2676
Fax: (510) 879-9100

The enumeration date for this NPI number is 3/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA11214CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA11214OTHERCALIFORNIAPHYSICIAN'S ASSISTANT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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