Individual provider Active NPI

Mary Horner, MD

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1194055699
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A136567 Issued in CA
Practice address
2410 Fair Oaks Blvd Ste 220
Sacramento, CA 95825-7630
Phone
(916) 739-1505
Fax
(915) 739-1426
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A136567 CA Primary

Addresses

Primary practice location

2410 Fair Oaks Blvd Ste 220
Sacramento, CA 95825-7630

Mailing address

2410 Fair Oaks Blvd Ste 220
Sacramento, CA 95825-7630
Phone (916) 739-1505

Other names 1

  • Mary Sockolov Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012000523 CA Practitioner - Dermatology 2860701968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Davis School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dermatology Consultants of Sacramento a Medical CorpGroup PAC ID 8224064001, 4 clinicians

Practice addresses (Care Compare)

2410 Fair Oaks Blvd
Suite 220
Sacramento, CA 95825-7630
Phone (916) 837-4981

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Merit-based Incentive Payment System (MIPS)

Final score
92.52 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision137
Removal of skin lesions2397
Removal or shaving of skin growth13
Skin biopsy421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Consultants of Sacramento a Medical Corp CurrentSince Oct 1, 2015 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

5340 Elvas Ave
Ste 600
Sacramento, CA 95819
Phone (916) 538-3545

2410 Fair Oaks Blvd
Ste 220
Sacramento, CA 95825
Phone (916) 739-1505

Interoperability endpoints

  • Direct secure messaging: mhorner309952@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1194055699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 FAIR OAKS BLVD STE 220",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257630",
            "telephone_number": "916-739-1505",
            "fax_number": "915-739-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 FAIR OAKS BLVD STE 220",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257630",
            "telephone_number": "916-739-1505",
            "fax_number": "915-739-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A136567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SOCKOLOV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.