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

Q: 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.

Q: What is Susan Abraham's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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