Individual provider Active NPI

Susanne Sager, M.D.

  • Pediatric Nephrology Physician
  • West Hills, CA
National Provider Identifier
1124066360
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
G63200 Issued in CA
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

Updated by the provider on Jan 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RHM08608FMedicaidCA
ZZT40394FMedicaidCA
050394OtherCABLUE CROSS
G63200OtherCAMEDICAL BOARD OF CA
RHM08609FMedicaidCA
RHM18553HMedicaidCA

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

LicenseStateTypeSpecialty
G63200CAMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.