Active NPI
Sufen Chiu, M.D.
- Child & Adolescent Psychiatry Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G086593
- Practice address
- 1792 Tribute Rd
Suite 350
Sacramento, CA 95815-4305 - Phone
- (916) 924-6400
- Fax
- (916) 648-1614
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | G086593 | CA | Primary |
Addresses
Primary practice location
1792 Tribute Rd
Suite 350
Sacramento, CA 95815-4305
Mailing address
3400 Data Dr
Physician Support Services
Rancho Cordova, CA 95670-7956
Phone (916) 379-2948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G865930 | Medicaid | CA |
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
- Psychiatry
- Education
- University of Maryland School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G086593 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
3400 Data Dr
Fl 1
Rancho Cordova, CA 95670
Phone (916) 379-2726
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
1792 Tribute Rd
Ste 350
Sacramento, CA 95815
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
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.
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1568489268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1336124486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "PHYSICIAN SUPPORT SERVICES",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956",
"telephone_number": "916-379-2948",
"fax_number": "916-858-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 TRIBUTE RD",
"address_2": "SUITE 350",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154305",
"telephone_number": "916-924-6400",
"fax_number": "916-648-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "SUFEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G086593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G865930",
"state": "CA"
}
],
"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 Sep 16, 2013; 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.