SUSAN NYLEN NFP
NPI 1205823077
Family Medicine - Addiction Medicine in Manteca, CA

NPI Status: Active since October 05, 2005

Contact Information

1140 NORMAN DR
SUITE 101
MANTECA, CA
ZIP 95336
Phone: (209) 825-7748

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  • Individual
  • Female
  • Family Medicine
  • Addiction Medicine

About SUSAN NYLEN

This page provides the complete NPI Profile along with additional information for Susan Nylen, a provider established in Manteca, California with a medical specialization in Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1205823077 assigned on October 2005. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1205823077
Provider Name
SUSAN NYLEN NFP
Gender
Female
Entity Type
Individual
Location Address
1140 NORMAN DR SUITE 101 MANTECA, CA 95336
Location Phone
(209) 825-7748
Mailing Address
1140 NORMAN DR SUITE 101 MANTECA, CA 95336
Mailing Phone
(209) 825-7748
Is Sole Proprietor?
No
Enumeration Date
10-05-2005
Last Update Date
02-21-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License State
CA
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZZ26112ZMEDICARE ID-TYPE UNSPECIFIED (04)CA 
23049MEDICARE UPIN (02)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205823077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051626014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 6 + 2 + 6 + 0 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1205823077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992791180DR. ANIL K SAIN MD
Individual
Internal Medicine1140 NORMAN DR SUITE 1
MANTECA, CA 95336
(209) 825-7748
1790772986DR. CRAIG BOBSON M.D
Individual
Family Medicine (Adult Medicine)1140 NORMAN DR SUITE 101
MANTECA, CA 95336
(209) 825-7748
1679599070 MARIA ISABEL BACAY MD
Individual
Internal Medicine1140 NORMAN DR SUITE 103
MANTECA, CA 95336
(209) 825-6331
1629094032 BERNARD SONGCO BACAY MD
Individual
Internal Medicine1140 NORMAN DR STE 103
MANTECA, CA 95336
(209) 825-6331
1437179660 CASSANDRA JUNE MCCURDY MSN,NP-C
Individual
Nurse Practitioner1140 NORMAN DR SUITE 103
MANTECA, CA 95336
(209) 825-6331
1821286089CRAIG BOBSON NORTH STREET FAMILY PRACTICE
Organization
Family Medicine (Adult Medicine)1140 NORMAN DR SUITE 101
MANTECA, CA 95336
(209) 825-7748
1497775902 RHONDA M. BRAZIL N.P.
Individual
Nurse Practitioner (Family)1140 NORMAN DR
MANTECA, CA 95336
(209) 825-7748
1760459416BACAY-ARUIZA MEDICAL ASSOCIATES INC
Organization
Internal Medicine1140 NORMAN DR SUITE 103
MANTECA, CA 95336
(209) 825-6331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205823077, enumerated in the NPI registry as an "individual" on October 05, 2005

The provider is located at 1140 Norman Dr Suite 101 Manteca, Ca 95336 and the phone number is (209) 825-7748

The provider's speciality is Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 05, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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