Active NPI
Susanne Sager, M.D.
- Pediatric Nephrology Physician
- West Hills, CA
National Provider Identifier
1124066360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- G63200
- Practice address
- 7301 Medical Center Dr. #300
West Hills, CA 91307-1973 - Phone
- (818) 593-5439
- Fax
- (818) 593-3460
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | G63200 | CA | Primary |
Addresses
Primary practice location
7301 Medical Center Dr. #300
West Hills, CA 91307-1973
Mailing address
7301 Medical Center Dr. #300
West Hills, CA 91307-1973
Phone (818) 593-5439
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM08608F | Medicaid | CA | |
| ZZT40394F | Medicaid | CA | |
| 050394 | Other | CA | BLUE CROSS |
| G63200 | Other | CA | MEDICAL BOARD OF CA |
| RHM08609F | Medicaid | CA | |
| RHM18553H | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63200 | CA | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Health System | Past | Accepting new patients | |
| Coastal Kids, a Professional Medical Corporation | Past | Accepting new patients | |
| Community Memorial Health System | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- susanne.sager@1764.securemail.prognocis.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Newport Beach, CA
- NPI 1740311737
-
- Multi-Specialty Clinic/Center
- Oxnard, CA
- NPI 1124067574
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1124066360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 MEDICAL CENTER DR. #300",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071973",
"telephone_number": "818-593-5439",
"fax_number": "818-593-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 MEDICAL CENTER DR. #300",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071973",
"telephone_number": "818-593-5439",
"fax_number": "818-593-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGER",
"first_name": "SUSANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "CA",
"license": "G63200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08608F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT40394F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "050394",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CA",
"identifier": "G63200",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM08609F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM18553H",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.