IndividualActive
Susan Ivey, MD
NPI 1003004169 · Family Medicine Physician · Berkeley, CA
Provider details
- NPI number
- 1003004169
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- C43335 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2140 Shattuck Ave
10th Floor, Health Research for Action, Uc-Berkeley Sph
Berkeley, CA 94704-1210
Phone: (510) 643-1883
Fax: (510) 643-7976
Approximate (ZIP-level) locationGet directions
Mailing address
131 Emerald Dr
Danville, CA 94526-2426
Registry dates
- Enumerated
- 2007-10-12
- Last updated
- 2007-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.