MEDICARE: SUSAN A KEISNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C41820	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00C418200	OTHER	CA	MEDI CAL

General Provider Information

NPI Number	:	1417954793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN A KEISNER MD

Provider Business Mailing Address
First Line	:	3401 W SUNFLOWER AVE.
Second Line	:	SUITE 250
City	:	SANTA ANA
State	:	CA
Zip	:	92704
Country	:	US
Telephone Number	:	714-619-8777
Fax Number	:	714-619-8770

Provider Business Practice Location Address
First Line	:	3401 W. SUNFLOWER AVE.
Second Line	:	SUITE 250
City	:	SANTA ANA
State	:	CA
Zip	:	92704
Country	:	US
Telephone Number	:	714-619-8777
Fax Number	:	714-619-8770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	05/07/2012

Similar Medicare Providers

1841132370 — ANNIKA RACHEL WEINBERG
Practice Location Address:

3631 S HARBOR BLVD STE 200
SANTA ANA, CA
92704-7936

Practice Phone: 657-356-6490
Practice Fax:

1205414976 — NANCY RICH VILLA ASW116719
Practice Location Address:

3631 S HARBOR BLVD STE 200
SANTA ANA, CA
92704-7936

Practice Phone: 657-356-6490
Practice Fax:

1972506988 — PAUL Y HAN DPM
Practice Location Address:

2621 S BRISTOL ST , STE 209
SANTA ANA, CA
92704-5719

Practice Phone: 714-850-1300
Practice Fax: 714-850-1301

1568467215 — PHILIP CHEU MD
Practice Location Address:

3501 S HARBOR BLVD STE 200
SANTA ANA, CA
92704-6940

Practice Phone: 714-929-2300
Practice Fax:

1811996523 — DR. ROSE MARIA CUNNINGHAM-AHUMADA D.O.
Practice Location Address:

2621 S BRISTOL ST , SUITE 205
SANTA ANA, CA
92704-5766

Practice Phone: 714-557-5777
Practice Fax:

1083614986 — ELAINE ZOBERMAN-SALTIEL M.D.
Practice Location Address:

3401 S HARBOR BLVD
SANTA ANA, CA
92704-7933

Practice Phone: 888-988-2800
Practice Fax: 714-427-7969

Directions to “ SUSAN A KEISNER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.