Individual provider Active NPI

Nobuhiko Sumiyoshi, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sacramento, CA
National Provider Identifier
1912139767
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
C-192190 Issued in CA
Practice address
4860 Y St Ste 3800
Sacramento, CA 95817-2307
Phone
(916) 734-2807
Fax
(916) 734-7904
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X C-192190 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X C-192190 CA Primary

Addresses

Primary practice location

4860 Y St Ste 3800
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 3800
Sacramento, CA 95817-2307
Phone (916) 734-2807

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
I20240807004584 CA Practitioner - Orthopedic Surgery 3678914066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-192190CAMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Reno Orthopaedic Clinic, LTD Foot and Ankle Surgery Current Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2024 Accepting new patients

Locations

10850 White Rock Rd
Rancho Cordova, CA 95670

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 3800
Sacramento, CA 95817
Phone (916) 734-2807

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

555 N Arlington Ave
Reno, NV 89503

Interoperability endpoints

  • Direct secure messaging: nsumiyoshi205299@direct.renown.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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1912139767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3800",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-2807",
            "fax_number": "916-734-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3800",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-2807",
            "fax_number": "916-734-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMIYOSHI",
        "first_name": "NOBUHIKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "C-192190",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "C-192190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.