IndividualActive
Susana Chan, RN
NPI 1396496808 · Gerontology Registered Nurse · Oakland, CA
Provider details
- NPI number
- 1396496808
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 462255 (CA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
7200 Bancroft Ave
Oakland, CA 94605-2403
Phone: (510) 828-4308
Approximate (ZIP-level) locationGet directions
Mailing address
33762 Rye Ter
Fremont, CA 94555-1471
Registry dates
- Enumerated
- 2022-01-17
- Last updated
- 2022-01-17
- Certified
- 2022-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.