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

Susana Judith Praver, PAC

Individual provider Medical Physician Assistant · NPI 1255434452

Susana Judith Praver, PAC is a Medical Physician Assistant in Oakland, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3451 E 12th St
Oakland, CA 94601
Phone: (510) 535-3317
Fax: (510) 535-4248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10842 (CA)

Record details

NPI number1255434452
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESAugust 6, 2010

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