MEDICARE: DR. SUSAN CELINA ROBINSON M.D.

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	207VG0400X	Gynecology Physician	MD2009-0717	NM
2	207VG0400X	Gynecology Physician	036.124633	IL
3	207VG0400X	Gynecology Physician	04-30388	KS
4	207V00000X	Obstetrics & Gynecology Physician	G39852	CA

General Provider Information

NPI Number	:	1932252061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN CELINA ROBINSON M.D.

Provider Business Mailing Address
First Line	:	2471 CIELO VISTA RD
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-5213
Country	:	US
Telephone Number	:	805-712-8986
Fax Number	:

Provider Business Practice Location Address
First Line	:	2471 CIELO VISTA RD
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-5213
Country	:	US
Telephone Number	:	805-712-8986
Fax Number	:

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

Provider Enumeration Date	:	01/20/2007
Last Update Date	:	03/08/2026

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