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

Susie Ahn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265966113

Susie Ahn, MD is an Obstetrics/Gynecology in Antioch, California. Graduated from Warren Alpert Medical School of Brown University in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
9
Trained at
Warren Alpert Medical School of Brown University
Licensed in
CA, NC
In the registry since
2017
Specialties on file
2
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

3624 Delta Fair Blvd Bldg E
Antioch, CA 94509-4006
Phone: (925) 779-5090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A173255 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 226724 (NC)

Record details

NPI number1265966113
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2017
Last updated in NPPESFebruary 11, 2022
Certification dateAugust 24, 2021
Mailing address3624 Delta Fair Blvd Bldg E, Antioch, CA 94509-4006

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Antioch