SARAH M GUSTAFSON M.D.
NPI 1740607126
Pediatrics in Mission Hills, CA

Q: What is Sarah Gustafson's NPI number?

The NPI number for Sarah Gustafson is 1740607126. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Q: What is Sarah Gustafson'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 Sarah Gustafson was last updated on December 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2014PECOS Enrolled

11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345(818) 869-7200 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sarah M Gustafson M.d. NPPES

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

SARAH M GUSTAFSON M.D. (NPI 1740607126) is an individual pediatrics provider in Mission Hills, California, licensed in California (A141074) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740607126

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSARAH M GUSTAFSONCredential: M.D.

Location Address11333 SEPULVEDA BLVDMission Hills, CA 91345-1116

Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5559 · Fax (818) 792-4793

Phone(818) 869-7200

Sole ProprietorNo

Enumeration DateMarch 24, 2014

Last NPPES UpdateDecember 29, 2017

✔ NPI 1740607126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A141074

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11333 SEPULVEDA BLVD, Mission Hills, CA 91345

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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 (PECOS)

Sarah M Gustafson 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 91345 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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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.

SARTHI RAKSHEN SHAH M.D.

Internal Medicine