SUSAN E. GILLIS MD – NPI #1215315858
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

SUSAN GILLIS is a physician located in LAGUNA NIGUEL, CA. NPPES has assigned the NPI number 1215315858 to SUSAN GILLIS on May 15, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Aug 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN GILLIS below.

NPI Profile for
SUSAN E. GILLIS

NPI Number
1215315858
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN E. GILLIS
Credentials
MD
Primary location
25500 RANCHO NIGUEL RD STE 110
LAGUNA NIGUEL, CA 92677-7373
Phone: (949) 448-8821 Fax:
3 Other location(s):
6942 University Ave Ste A
LA Mesa, CA 91942-5963
Phone: (619) 698-2184
408 Canal View Way
Apt D
INDIANAPOLIS, IN 46202
Phone: (260) 241-5700
601 Childrens Ln
Norfolk, VA 23507-1910
Phone: (757) 668-7000
Mailing address
3200 PASEO VILLAGE WAY APT 1321
SAN DIEGO, CA 92130-3232
Phone: (260) 241-5700 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Aug 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA A172110

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.