Carla Gene Suson Lewis
Nurse Practitioner, Psych/Mental Health in Santa Clarita, CA. Individual provider (NPI-1).
NPI number1093673071
StatusActive
Last updated in NPPESJan 9, 2026
Details
- NPI
- 1093673071
- Entity type
- Individual (NPI-1)
- Name
- Carla Gene Suson Lewis
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2026
- Certification date
- Jan 9, 2026
- Last updated
- Jan 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95038177 | CA | Yes |
Practice location
19803 Ellis Henry CtSanta Clarita, CA 91321-2185
Phone 818-554-8348
Mailing address
19803 Ellis Henry CtSanta Clarita, CA 91321-2185
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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