Active NPI
Susan Guralnick, M.D.
- Pediatrics Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 153750
- Practice address
- 2516 Stockton Blvd RM 323
Sacramento, CA 95817 - Phone
- (916) 734-2105
- NPI assigned
- Jun 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 172661 | NY | |
| Pediatrics Physician | 208000000X | 153750 | CA | Primary |
Addresses
Primary practice location
2516 Stockton Blvd RM 323
Sacramento, CA 95817
Mailing address
2516 Stockton Blvd RM 323
Sacramento, CA 95817-2208
Other practice location 1
2516 Stockton Blvd Rm 323
Sacramento, CA 95817
Phone (916) 734-2105
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01289578 | Medicaid | NY | |
| 20I442 | Other | NY | EMPIRE BC.BS |
| 423564 | Other | NY | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- State University of New York at Buffalo School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2521 Stockton Blvd
Sacramento, CA 95817-2207
Phone (916) 734-2111
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153750 | CA | MD | Pediatrics Physician |
| 172661 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Ca | Pediatrics | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| County of Sacramento | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| County of Sacramento | Current | Accepting new patients | |
| University Hospital at Stony Brook | Past | Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670
2521 Stockton Blvd
Ste 2200
Sacramento, CA 95817
Phone (916) 734-1180
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670
2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104
Organizations & group practices 9
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.
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- Diagnostic Radiology Physician
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- NPI 1437142692
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1215979422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 STOCKTON BLVD RM 323",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 STOCKTON BLVD RM 323",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95817",
"telephone_number": "916-734-2105"
}
],
"practiceLocations": [
{
"address_1": "2516 Stockton Blvd Rm 323",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95817",
"country_code": "US",
"telephone_number": "916-734-2105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GURALNICK",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "172661",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "153750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01289578",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC.BS",
"identifier": "20I442",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "423564",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.