SUZANNE KATHERINE MEDNIK (M.D.) – Dermatology Physician, NPI 1639595705

SUZANNE KATHERINE MEDNIK (M.D.) is a healthcare provider. based in Santa monica, California. specializing in Dermatology Physician. They hold the professional credentials M.D.. They hold a License No. A134132 (CA). The NPI Number for SUZANNE KATHERINE MEDNIK (M.D.) is 1639595705

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE KATHERINE MEDNIK (M.D.)
NPI
1639595705
Phone
(310) 829-4484
Address
2001 SANTA MONICA BLVD STE 990W
Enumeration Date
12 March 2014
Last Update Date
26 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
3108294484
Graduation Year
2013 (13 years ago)
PAC ID
1355615782
Group Practice PAC ID
8123390986
Professional Enrollment ID
I20170922001221
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for SUZANNE KATHERINE MEDNIK (M.D.)

  • 2001 SANTA MONICA BLVD STE 990W

    SANTA MONICA, CA 904042155

    Phone: (310) 829-4484

    Type: Location

  • 2708 WILSHIRE BLVD # 416

    SANTA MONICA, CA 904034706

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123390986View full group profile
NameSpecialtyState
Dermatology, PathologyCA
Dermatology, PathologyCA
D E R M A T O L O G YCA
Dermatology, PathologyCA
D E R M A T O L O G YCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SUZANNE KATHERINE MEDNIK (M.D.)?
SUZANNE KATHERINE MEDNIK (M.D.) — NPI 1639595705 — is the standard way to identify this listing.
Is SUZANNE KATHERINE MEDNIK (M.D.) listed as active for patients and plans?
The listing shows SUZANNE KATHERINE MEDNIK (M.D.) as active in the NPI system.
What is SUZANNE KATHERINE MEDNIK (M.D.)'s primary classification?
Dermatology Physician is the headline specialty for SUZANNE KATHERINE MEDNIK (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for SUZANNE KATHERINE MEDNIK (M.D.)?
SUZANNE KATHERINE MEDNIK (M.D.)'s geographic hint is Santa Monica, California in our summary view.
Is the information about SUZANNE KATHERINE MEDNIK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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