Susan Jo, DDS
Susan Jo is a General Practice Dentistry provider (Dentist) practicing in Stanton, CA, registered in the NPPES registry with NPI 1215445101 since 2018. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215445101 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Susan Jo |
| Credential | DDS |
| Sex | Female |
| Practice address | 11702 BEACH BLVD, Stanton, CA, 90680 |
| Phone | 7148988552 |
| Enumeration date | 2018-01-14 |
| Last updated in NPPES | 2018-01-14 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 102065 | CA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Susan Jo, DDS NPI: 1215445101 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 11702 BEACH BLVD, Stanton, CA, 90680
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124042460 | Thomas Boone | Individual | General Practice Dentistry | Stanton, CA |
| 1225239585 | Thuy Fortier | Individual | General Practice Dentistry | Stanton, CA |
| 1013118371 | Kevin Fortier | Individual | General Practice Dentistry | Stanton, CA |
| 1669701777 | Sonia Lee | Individual | General Practice Dentistry | Stanton, CA |
| 1730458712 | Farzaneh Hanitabatabaei | Individual | Dentist | Stanton, CA |
| 1104348150 | Oc Dental Specialists | Organization | Dentist | Stanton, CA |
| 1992451405 | Hien Ta | Individual | Dentist | Stanton, CA |
| 1750015228 | Tafa Dentistry, A Dental Corporation | Organization | General Practice Dentistry | Stanton, CA |
Verify this record
Cross-check NPI 1215445101 against the authoritative CMS record: view Susan Jo on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-01-14.