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ELAINE ROSE SUMAQUIAL M.D.
NPI 1316094089
Internal Medicine in Antioch, CA

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 779-5090 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elaine Rose Sumaquial M.d. NPPES

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

ELAINE ROSE SUMAQUIAL M.D. (NPI 1316094089) is an individual internal medicine provider in Antioch, California, licensed in California (A96626) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1316094089
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELAINE ROSE SUMAQUIALCredential: M.D.
Location Address3400 DELTA FAIR BLVDAntioch, CA 94509-4004
Mailing Address2716 Moet LnSan Ramon, CA 94582-2880
Phone(925) 779-5090
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 4, 2007
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1316094089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A96626
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3400 DELTA FAIR BLVD, Antioch, CA 94509
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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

Elaine Rose Sumaquial M.d. 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 ID8921103748
PECOS Enrollment IDI20070423000429
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 94509 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

MATTHEW ROBERT WHITE PT
Physical Therapist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5442
ROSETTA C. NEWHALL MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. SANAZ STACY ABOUTALEBI-SIMON O.D.
Optometrist (Corneal and Contact Management)
3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA 94509
Contra Costa County (925) 779-5223
RAJ V. DASARI MD
Emergency Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. ATHENA PANZAR PSY.D.
Counselor (Mental Health)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5090
AL G. SUMAQUIAL MD
Internal Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
BERNABE FLORO URBANO JR. MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. PHILIP SONG M.D.
Dermatology
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 817-5600

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 Elaine Sumaquial's NPI number?

The NPI number for Elaine Sumaquial is 1316094089. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Elaine Sumaquial located?

Elaine Sumaquial practices at 3400 Delta Fair Blvd, Antioch, CA 94509. The listed phone number is (925) 779-5090.

What is Elaine Sumaquial's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elaine Sumaquial enrolled in Medicare?

Yes. Elaine 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 Elaine Sumaquial was last updated on February 11, 2022. 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.