Jose V Sumaquial, MD - Medicare Family Practice in Elk Grove, CA

Jose V Sumaquial, MD is a medicare enrolled "Family Medicine" physician in Elk Grove, California. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 9201 Big Horn Blvd, Elk Grove, California. You can reach out to his office (for appointments etc.) via phone at (916) 478-5000.

Jose V Sumaquial is licensed to practice in California (license number A73800) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043398779.

Contact Information

Jose V Sumaquial, MD
9201 Big Horn Blvd,
Elk Grove, CA 95758-1240
(916) 478-5000
Not Available

Map and Direction




Physician's Profile

Full NameJose V Sumaquial
GenderMale
SpecialityFamily Practice
Experience26 Years
Location9201 Big Horn Blvd, Elk Grove, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jose V Sumaquial graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1043398779
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 12/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436115383
  • Enrollment ID: I20041202000941

Medical Identifiers

Medical identifiers for Jose V Sumaquial such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043398779NPI-NPPES
00A738000MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A73800 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jose V Sumaquial allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jose V Sumaquial is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jose V Sumaquial, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3466

Ph: (510) 625-6262
Jose V Sumaquial, MD
9201 Big Horn Blvd,
Elk Grove, CA 95758-1240

Ph: (916) 478-5000

Reviews and Comments


Family Medicine Doctors in Elk Grove, CA

Thomas A Bzoskie, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8170 Laguna Blvd Ste 113, Elk Grove, CA 95758
Phone: 916-478-6561    Fax: 916-478-6573
Dr. Jeanne Marie Taylor, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758
Phone: 916-478-5100    
Katie C Askew, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758
Phone: 916-691-5900    Fax: 916-691-6736
Scott C Cannon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758
Phone: 916-691-5900    
Kristin G Leach, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758
Phone: 916-478-5000    
Seema Prakash Shah, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8170 Laguna Blvd Ste 101, Elk Grove, CA 95758
Phone: 916-478-6565    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.