Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Susan Lee Ivey, MD

Individual provider Family Medicine Physician · NPI 1003004169

Dr. Susan Lee Ivey, MD is a Family Medicine Physician in Berkeley, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2140 Shattuck Ave 10th Fl Health Research For Action Uc-Berkeley Sph
Berkeley, CA 94704-1210
Phone: (510) 643-1883
Fax: (510) 643-7976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C43335 (CA)

Record details

NPI number1003004169
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2007
Last updated in NPPESOctober 12, 2007

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