JOSE V. SUMAQUIAL MD
NPI 1043398779
Family Medicine in Elk Grove, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
9201 BIG HORN BLVD, ELK GROVE, CA 95758(916) 478-5000 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose V. Sumaquial Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE V. SUMAQUIAL MD (NPI 1043398779) is an individual family medicine provider in Elk Grove, California, licensed in California (A73800) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1043398779
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSE V. SUMAQUIALCredential: MD
Location Address9201 BIG HORN BLVDElk Grove, CA 95758-1240
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 20, 2021
NPI 1043398779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A73800
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9201 BIG HORN BLVD, Elk Grove, CA 95758

Other Identifiers 1

Medicaid00A738000CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jose V. Sumaquial Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436115383
PECOS Enrollment IDI20041202000941
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Marriage & Family Therapist
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Dermatology
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Nurse Practitioner
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Registered Nurse (Administrator)
9201 BIG HORN BLVD
ELK GROVE, CA 95758
Family Medicine
9201 BIG HORN BLVD
ELK GROVE, CA 95758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Sumaquial's NPI number?

The NPI number for Jose Sumaquial is 1043398779. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jose Sumaquial located?

Jose Sumaquial practices at 9201 Big Horn Blvd, Elk Grove, CA 95758. The listed phone number is (916) 478-5000.

What is Jose Sumaquial's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Sumaquial enrolled in Medicare?

Yes. Jose Sumaquial is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Sumaquial was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.