Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Beyer Bertelsen, PA-C

Individual provider Physician Assistant · NPI 1790809739

Susan Beyer Bertelsen, PA-C is a Physician Assistant in Emeryville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2100 Powell St Ste 900 Cep - Medamerica Provider Enrollment
Emeryville, CA 94608-1844
Phone: (510) 350-2676
Fax: (510) 879-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11214 (CA)

Record details

NPI number1790809739
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3955 Duncan Pl, Palo Alto, CA 94306-4551

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