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DR. SUSAN M ABRAHAM M.D.
NPI 1376574616
Pediatrics in Stockton, CA

Active since July 05, 2006PECOS Enrolled
1414 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-6937(209) 468-7042 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Susan M Abraham M.d. NPPES

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

DR. SUSAN M ABRAHAM M.D. (NPI 1376574616) is an individual pediatrics provider in Stockton, California, licensed in California (A053606) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376574616
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUSAN M ABRAHAMCredential: M.D.
Location Address1414 N CALIFORNIA STStockton, CA 95202-1515
Mailing AddressPo Box 1020Stockton, CA 95201-3120 · (209) 468-6937 · Fax (209) 468-7042
Phone(209) 468-6937
Fax(209) 468-7042
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376574616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A053606
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1414 N CALIFORNIA ST, Stockton, CA 95202
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Other Identifiers 2

Medicare UPINF93438CA
Medicare ID-Type Unspecified00A536060CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan M Abraham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Abraham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
50 mi
Federally Qualified Health Center (FQHC)
143 N MAIN ST
Milpitas, CA 95035
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1043354020 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1285629899 (408) 885-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95202 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

MARITZA JUACHE
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
JOSEPH MICHAEL JACKSON POINTON
Case Manager/Care Coordinator
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-1000
TRISTAN PATRICK SPAULDING
Community Health Worker
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
KEAR HENG NGAM
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
MR. ADAM WILLIAM DIESTLER MFTI
Marriage & Family Therapist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
J WILLIAM WATKINS LPCC
Counselor (Professional)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-2385
ADRIENNE PLEASANTS
Counselor (Mental Health)
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7385
MR. JOSEPH KOZINA
Day Training/Habilitation Specialist
1414 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-4226

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 Susan Abraham's NPI number?

The NPI number for Susan Abraham is 1376574616. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Susan Abraham located?

Susan Abraham practices at 1414 N California St, Stockton, CA 95202. The listed phone number is (209) 468-6937.

What is Susan Abraham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Susan Abraham enrolled in Medicare?

Yes. Susan Abraham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Abraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Abraham reassigns Medicare benefits to County Of Santa Clara (Milpitas, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Abraham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.