Individual provider Active NPI

Susan P Gorman, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
National Provider Identifier
1841240504
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G79764 Issued in CA
Practice address
77 Cadillac Dr
Suite 230
Sacramento, CA 95825-5453
Phone
(916) 920-2082
Fax
(916) 920-1430
NPI assigned
May 11, 2006
Last updated
May 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD22835 OR
Obstetrics & Gynecology Physician 207V00000X G79764 CA Primary

Addresses

Primary practice location

77 Cadillac Dr
Suite 230
Sacramento, CA 95825-5453

Mailing address

77 Cadillac Dr
Suite 230
Sacramento, CA 95825-5453
Phone (916) 920-2082

Other names 1

  • Susan Marie Ploszaj 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
I20160708000727 CA Practitioner - Obstetrics/Gynecology 9537122064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1370 Prairie City Rd
Folsom, CA 95630-9554
Phone (916) 985-9320

2521 Stockton Blvd
Sacramento, CA 95817-2207
Phone (916) 734-2111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79764CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2019 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 6, 2019 Accepting new patients
Capital OB/GYN, Inc. Obstetrics & Gynecology CurrentSince Aug 1, 2016 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2019 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 6, 2019 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

77 Cadillac Dr
Ste 230
Sacramento, CA 95825
Phone (916) 920-2082

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1841240504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-920-2082",
            "fax_number": "916-920-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-920-2082",
            "fax_number": "916-920-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "M.D., P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD22835",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G79764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "PLOSZAJ",
            "middle_name": "MARIE",
            "credential": "M.D., P.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.