IndividualActive
Susan Keefauver, MD
NPI 1144524448 · Clinical Neurophysiology Physician · San Juan Bautista, CA
Provider details
- NPI number
- 1144524448
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- G063453 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
525 Via Vaquero Norte
San Juan Bautista, CA 95045-9590
Phone: (831) 623-1000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 849
San Juan Bautista, CA 95045-0849
Registry dates
- Enumerated
- 2010-12-29
- Last updated
- 2010-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.