Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1285747618
Matthew James SusankaM.D.
Active
NPI Number1285747618
NPI TypeNPI-1 Individual
SpecialtyObstetrics & Gynecology
Provider Details
NPI1285747618
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-17
Last Updated2016-07-14
Mailing Address77 Cadillac Dr, Ste 230
Sacramento, CA 95825-5480
United States
Phone: (916) 920-2082 | Fax: (916) 920-1430
📍 View Map
Primary Practice Address77 Cadillac Dr, 230
Sacramento, CA 95825-5480
United States
Phone: (916) 920-2082 | Fax: (916) 920-2082
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207V00000X – Obstetrics & GynecologyCAG77856
Export Provider Record NPI 1285747618
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About NPI 1285747618

Matthew James Susanka M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1285747618. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Sacramento, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1285747618?

NPI 1285747618 belongs to Matthew James Susanka M.D., a Obstetrics & Gynecology in Sacramento, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1285747618 active?

The current status of NPI 1285747618 in the NPPES registry is Active. The record was last updated on 2016-07-14.

What specialty is NPI 1285747618?

NPI 1285747618 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1285747618?

You can verify NPI 1285747618 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1285747618?

The primary practice address on file for NPI 1285747618 is 77 Cadillac Dr, Sacramento, CA 95825-5480. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1285747618 issued?

NPI 1285747618 was first issued (enumerated) on 2006-08-17. The NPPES record was last updated on 2016-07-14.

Practice Location Map

Matthew James Susanka is located at 77 Cadillac Dr, Sacramento, CA. Use the map below to find directions or verify the practice location.

📍 77 Cadillac Dr, Sacramento, CA 95825-5480  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Matthew James Susanka. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1285747618. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & GynecologyG77856CA
Data Verified from CMS NPPES Last synced: 2026-08-02 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162