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Austin Trinh, MD

Diagnostic Radiology · Auburn

NPI 1194067256

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
24
Since medical school
13 years
University of Utah School of Medicine, 2013

Offices

24 locations · Sutter Valley Medical Foundation · 2,473 clinicians in this group

Looking this up.

Hospitals listed: Sutter Amador Hospital · Sutter Auburn Faith Hospital · Sutter Davis Hospital · Sutter Medical Center, Sacramento · Sutter Roseville Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Trinh’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A135439 · Current

Licensed to practise in California · since 2015 · expires 2028-06-30 · University of Utah School of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Radiology - Diagnostic Radiology

Hospitals they work in

5 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Sutter Amador HospitalJackson, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 77% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
  • Sutter Auburn Faith HospitalAuburn, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency departmentPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 79% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
  • Sutter Davis HospitalDavis, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 82% would definitely recommend it
    Overall rating: 4 of 5 starsNo measure marked better or worse than the national rate
  • Sutter Medical Center, SacramentoSacramento, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 3 of 5 · 79% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 13.9 (12 to 15.9) · 992 cases, Jan 2024 – Dec 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.066, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.335, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.215, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.46, Oct 2024 – Sep 2025Better than the national rate — SSI - Colon Surgery: 0.253, Oct 2024 – Sep 2025
  • Sutter Roseville Medical CenterRoseville, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sutter Health, which runs 27 hospitals in 2 statesPatients rate it 4 of 5 · 79% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Pressure ulcer rate: 0.08 (0 to 0.56) · 12,400 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.069, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.262, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.128, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.357, Oct 2024 – Sep 2025
See every measure and the patient survey for Sutter Amador Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 0 better, 3 the same, 0 worse of 3 measures. Readmissions: 1 better, 7 the same, 1 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Amador Hospital
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.02 (0 to 2.09) · 180 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.05 (0.6 to 1.5)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.4 · 47 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.6 · 139 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14 · 233 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10 · 81 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 803 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,886 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.05 to 0.47) · 1,831 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.13 (0.63 to 5.63) · 209 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.66 (0 to 3.39) · 25 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.59 (0.88 to 4.3) · 188 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.99 (0 to 18.96) · 26 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.72 (0.21 to 3.23) · 65 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.81 (0 to 1.84) · 1,604 casesNo differentJul 2022 – Jun 2024
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.7 · 138 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits0.9 · 139 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-27.8 · 230 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.5 · 226 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (3.2 to 8.1) · 42 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.1 (6.9 to 14.9) · 42 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.4 · 64 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.7 (10.1 to 18.6) · 146 casesNo differentJan 2022 – Dec 2024

What patients said (385 patients answered, 23% of those asked)

Patient survey stars by topic at Sutter Amador Hospital
Cleanliness5
Nurse communication5
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness4
Recommend hospital4
Share of patients giving the best answer at Sutter Amador Hospital
Room was "always" clean84%
Nurses "always" communicated well84%
Doctors "always" communicated well82%
Staff "always" explained68%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge90%
Doctors "always" explained things so they could understand79%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect88%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications81%
Nurses "always" explained things so they could understand80%
Nurses "always" listened carefully82%
Nurses "always" treated them with courtesy and respect91%
"Always" quiet at night61%
"YES", patients would definitely recommend the hospital77%
Staff "always" explained possible side effects54%
Yes, staff "did" give patients information about possible symptoms89%
See every measure and the patient survey for Sutter Auburn Faith Hospital

Behind the star rating — Deaths: 0 better, 6 the same, 0 worse of 6 measures. Safety: 1 better, 4 the same, 0 worse of 5 measures. Readmissions: 3 better, 6 the same, 0 worse of 9 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Auburn Faith Hospital
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.96 (0 to 2.01) · 312 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.04 (0.62 to 1.46)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths160.66 (100.73 to 220.58) · 26 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths9.5 · 63 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths12.7 · 160 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16 · 241 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.6 · 105 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.9 · 1,272 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.42) · 2,484 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.29 (0.08 to 0.5) · 2,442 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.11 (1.72 to 6.49) · 442 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.61 (0 to 3.31) · 130 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.12 (0.47 to 3.78) · 417 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.72 (0.67 to 18.77) · 133 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths8.26 (4.11 to 12.4) · 113 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.18 to 3.18) · 135 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.33 (0 to 1.3) · 1,845 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.4 · 34 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.2 · 215 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-1.9 · 178 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-30.1 · 250 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.1 · 300 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.5 (3.5 to 8.5) · 58 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits11.6 (8 to 16.4) · 58 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 32 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.8 · 95 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.7 (9 to 15.2) · 1,787 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.3) · 473 casesNo differentJan 2024 – Dec 2024

What patients said (563 patients answered, 27% of those asked)

Patient survey stars by topic at Sutter Auburn Faith Hospital
Cleanliness5
Nurse communication5
Doctor communication4
Communication about medicines4
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Sutter Auburn Faith Hospital
Room was "always" clean81%
Nurses "always" communicated well83%
Doctors "always" communicated well84%
Staff "always" explained66%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge91%
Doctors "always" explained things so they could understand81%
Doctors "always" listened carefully82%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications79%
Nurses "always" explained things so they could understand80%
Nurses "always" listened carefully81%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night51%
"YES", patients would definitely recommend the hospital79%
Staff "always" explained possible side effects53%
Yes, staff "did" give patients information about possible symptoms90%
See every measure and the patient survey for Sutter Davis Hospital

Behind the star rating — Deaths: 0 better, 5 the same, 0 worse of 5 measures. Safety: 1 better, 1 the same, 0 worse of 2 measures. Readmissions: 1 better, 7 the same, 0 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Davis Hospital
Abdominopelvic accidental puncture or laceration rateComplications and deaths1 (0 to 2.07) · 247 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.88 (0.43 to 1.32)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths9.7 · 28 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 151 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.1 · 91 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8.9 · 94 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.9 · 857 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,791 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.04 to 0.47) · 1,822 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.22 (0.68 to 5.75) · 179 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.27 (0.56 to 3.98) · 161 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.73 (0.21 to 3.25) · 41 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.37 (0 to 1.4) · 1,424 casesNo differentJul 2022 – Jun 2024
Clostridium Difficile (C.Diff)Infections0.351No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21 · 169 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits9.1 · 165 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-13 · 94 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.4 · 123 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.8 · 34 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.5 (9.6 to 16.4) · 878 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.5) · 240 casesNo differentJan 2024 – Dec 2024

What patients said (406 patients answered, 18% of those asked)

Patient survey stars by topic at Sutter Davis Hospital
Cleanliness4
Nurse communication3
Doctor communication4
Communication about medicines4
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Sutter Davis Hospital
Room was "always" clean82%
Nurses "always" communicated well78%
Doctors "always" communicated well83%
Staff "always" explained66%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge91%
Doctors "always" explained things so they could understand78%
Doctors "always" listened carefully82%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)80%
Staff "always" explained new medications77%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital82%
Staff "always" explained possible side effects55%
Yes, staff "did" give patients information about possible symptoms88%
See every measure and the patient survey for Sutter Medical Center, Sacramento

Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 3 better, 5 the same, 0 worse of 8 measures. Readmissions: 0 better, 9 the same, 2 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Medical Center, Sacramento
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.9 (12 to 15.9) · 992 casesWorseJan 2024 – Dec 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.066BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.335BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.215BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.46BetterOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.253BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.12 (0.29 to 1.94) · 2,408 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.99 (0.78 to 1.2)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths166.68 (126.66 to 206.71) · 180 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.4 · 292 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.7 · 143 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 359 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.8 · 543 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths15.9 · 425 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.4 · 441 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 5,216 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.11 (0 to 0.29) · 9,948 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.1 to 0.45) · 10,968 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.04 (1.53 to 4.56) · 3,983 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.33 (0.2 to 2.46) · 2,033 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.78 (1.69 to 3.87) · 3,594 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.79 (6.29 to 13.29) · 2,100 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.62 (4.04 to 9.2) · 2,018 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.63 (0.29 to 2.98) · 867 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.54 (0.07 to 1.01) · 8,613 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.3 · 294 casesNoneApr 2023 – Mar 2025
SSI - Abdominal HysterectomyInfections0No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.5 · 598 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.9 · 924 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits8.5 · 488 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-18.3 · 638 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits24.4 · 443 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.7 · 600 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.9 (3.9 to 6.1) · 992 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.1 · 298 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits9 · 249 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.6 · 250 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.3 (8.7 to 14.6) · 1,326 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.3) · 934 casesNo differentJan 2024 – Dec 2024

What patients said (700 patients answered, 20% of those asked)

Patient survey stars by topic at Sutter Medical Center, Sacramento
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital5
Share of patients giving the best answer at Sutter Medical Center, Sacramento
Room was "always" clean76%
Nurses "always" communicated well80%
Doctors "always" communicated well79%
Staff "always" explained61%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand75%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)79%
Staff "always" explained new medications75%
Nurses "always" explained things so they could understand75%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night49%
"YES", patients would definitely recommend the hospital79%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for Sutter Roseville Medical Center

Behind the star rating — Deaths: 2 better, 5 the same, 0 worse of 7 measures. Safety: 5 better, 1 the same, 1 worse of 7 measures. Readmissions: 2 better, 7 the same, 1 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sutter Roseville Medical Center
Pressure ulcer rateComplications and deaths0.08 (0 to 0.56) · 12,400 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.069BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.262BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.128BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.357BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.33 (0.49 to 2.17) · 2,916 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.9 (0.63 to 1.17)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths147.2 (107.33 to 187.07) · 191 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.9 · 250 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.7 · 484 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.4 · 839 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.3 · 1,027 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10 · 656 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 6,822 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.25 (0.08 to 0.42) · 14,300 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.23 (0.06 to 0.41) · 14,490 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.43 (2.77 to 6.08) · 3,117 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.38 (0 to 2.95) · 938 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.06 (0.76 to 3.36) · 2,944 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.03 (2.8 to 15.25) · 840 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths6.43 (3.11 to 9.75) · 899 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.73 (0.34 to 3.11) · 819 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.4 · 35 casesNoneApr 2023 – Mar 2025
SSI - Colon SurgeryInfections0.41No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.9 · 527 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.6 · 1,094 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-16.6 · 443 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-11 · 961 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-8 · 1,064 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.1 · 1,293 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.5 (3.5 to 8.7) · 35 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.2 (6.9 to 14.9) · 35 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 36 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.5 · 310 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.8 to 17.9) · 116 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.8 (0.7 to 1) · 1,600 casesNo differentJan 2024 – Dec 2024

What patients said (537 patients answered, 24% of those asked)

Patient survey stars by topic at Sutter Roseville Medical Center
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Sutter Roseville Medical Center
Room was "always" clean74%
Nurses "always" communicated well80%
Doctors "always" communicated well77%
Staff "always" explained62%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge88%
Doctors "always" explained things so they could understand70%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications77%
Nurses "always" explained things so they could understand78%
Nurses "always" listened carefully75%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night52%
"YES", patients would definitely recommend the hospital79%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms90%

Original Medicare doctor bills

$205,023

Medicare paid this office $205,023 for 1,962 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Ct scan head or brain without contrast767$24,011$30
Mri scan of brain before and after contrast82$20,327$248
Mri scan of lower spinal canal without contrast120$17,638$147
Mri scan of brain without contrast88$12,726$145
Ct scan of blood vessels of head with contrast154$10,253$66
See all 40 services
Every Original Medicare service billed
Ct scan head or brain without contrast767$24,011$30
Mri scan of brain before and after contrast82$20,327$248
Mri scan of lower spinal canal without contrast120$17,638$147
Mri scan of brain without contrast88$12,726$145
Ct scan of blood vessels of head with contrast154$10,253$66
Ct scan of blood vessels of neck with contrast160$10,024$62
Mri scan of brain without contrast182$9,795$54
Mri scan of upper spinal canal without contrast55$7,932$144
Ct scan of upper spine without contrast189$6,807$36
Mri scan of brain before and after contrast79$6,650$84
Mri scan of lower spinal canal before and after contrast15$3,908$261
Ct scan head or brain without contrast48$3,734$78
Ct scan of face without contrast33$3,700$112
Mri scan of blood vessels of head without contrast20$3,278$164
Ct scan of lower spine without contrast90$3,180$35
Mri scan of lower spinal canal without contrast57$3,157$55
Mri scan of middle spinal canal without contrast23$2,867$125
Ct scan of soft tissue of neck with contrast19$2,602$137
Ct scan of lower spine without contrast25$2,351$94
Ultrasound of both sides of head and neck blood flow16$2,316$145
Injection, gadobutrol, 0.1 ml105$2,231$0
Ct scan of upper spine without contrast19$1,847$97
Double contrast x-ray of esophagus19$1,834$97
Ct scan of face without contrast59$1,819$30
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance11$1,731$157
Ct scan of middle spine without contrast41$1,550$37
Mri scan of blood vessels of head without contrast36$1,519$42
Mri scan of lower spinal canal before and after contrast17$1,489$83
Mri scan of upper spinal canal without contrast25$1,397$56
Mri scan of middle spinal canal without contrast24$1,255$52
Ct scan of lower spine with contrast27$1,097$41
Mri scan of middle spinal canal before and after contrast11$1,051$88
Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast19$1,036$55
Ct scan of soft tissue of neck with contrast17$901$53
Double contrast x-ray of upper digestive tract11$858$78
Ct scan of middle spine with contrast19$717$38
Ultrasound of both sides of head and neck blood flow25$695$28
X-ray of lower and sacral spine, 2-3 views15$452$30
X-ray of upper spine, 2-3 views12$393$33
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml30$278$0

Procedures year by year

Procedures billed to Original Medicare by year
Procedure20202021202220232024
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance––––11

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

1,962 Original Medicare patients in 2024. Average age 76 · Under 65 9% · 85 and older 19% · Women 58% · Also on Medicaid 27% · Health risk score 1.72. Above the middle of the specialty; the typical diagnostic radiology clinician is at 1.7.

Conditions among them: High blood pressure 75% · Diabetes 35% · Chronic kidney disease 35% · Coronary heart disease 34% · Depression 32% · Stroke 30% · Atrial fibrillation 28% · Heart failure 26% · COPD 22% · Dementia 19% · Cancer 18%.

The office billed $1,805,854, Medicare allowed $276,178 and paid $205,023; for 14,622 services of 78 kinds; $2,563 of it was for drugs given in the office and $202,460 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241,96214,622761.72$1,805,854$205,023
20232,17210,290751.66$1,474,231$199,218
20222,1697,229751.76$1,480,507$191,006
20211,5772,371741.81$1,345,306$155,147
20208281,214741.95$641,327$86,825

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 41 services

Original Medicare services billed in 2023
Ct scan head or brain without contrast959$31,911$31
Mri scan of lower spinal canal without contrast121$19,371$159
Mri scan of brain without contrast215$12,315$57
Mri scan of brain without contrast76$12,136$160
Mri scan of brain before and after contrast44$11,400$259
Mri scan of upper spinal canal without contrast71$10,561$149
Ct scan of upper spine without contrast246$9,175$36
Ct scan of blood vessels of neck with contrast134$8,734$65
Ct scan of blood vessels of head with contrast128$8,604$67
Mri scan of brain before and after contrast58$5,405$92
Mri scan of lower spinal canal before and after contrast15$4,036$269
Ultrasound of both sides of head and neck blood flow26$3,896$150
Ct scan head or brain without contrast46$3,471$75
Ct scan of lower spine without contrast88$3,150$36
Mri scan of middle spinal canal without contrast21$2,903$138
Ultrasound scan of head and neck soft tissue32$2,759$86
Mri scan of lower spinal canal without contrast47$2,659$57
Mri scan of blood vessels of head without contrast48$2,269$47
Mri scan of lower spinal canal before and after contrast23$2,031$88
Ct scan of face without contrast18$1,655$92
Ct scan of middle spine without contrast46$1,601$35
Ct scan of soft tissue of neck with contrast11$1,585$144
Mri scan of middle spinal canal before and after contrast17$1,524$90
Mri scan of upper spinal canal without contrast26$1,499$58
Injection, gadobutrol, 0.1 ml62$1,441$0
X-ray of lower and sacral spine, 2-3 views48$1,423$30
Mri scan of middle spinal canal without contrast23$1,323$58
Ct scan of soft tissue of neck with contrast26$1,321$51
Mri scan of upper spinal canal before and after contrast13$1,215$87
Ct scan of lower spine without contrast12$1,181$98
Double contrast x-ray of esophagus14$1,175$84
Ct scan of face without contrast38$1,168$31
Ultrasound of both sides of head and neck blood flow28$852$30
X-ray of lower and sacral spine, minimum of 4 views19$850$45
Ct scan of lower spine with contrast18$789$44
Ct scan of middle spine with contrast14$606$43
Mri scan of blood vessels of neck without contrast12$503$42
X-ray of upper spine, 2-3 views18$443$25
X-ray of chest, 2 views16$384$24
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml17$183$0
X-ray of lower and sacral spine, 2-3 views16$136$8

2022: 43 services

Original Medicare services billed in 2022
Ct scan head or brain without contrast780$26,803$32
Mri scan of brain before and after contrast197$16,010$81
Mri scan of brain before and after contrast79$14,560$184
Mri scan of lower spinal canal without contrast77$12,107$155
Mri scan of brain without contrast174$9,755$56
Ct scan of upper spine without contrast233$9,066$39
Ct scan of blood vessels of head with contrast110$7,723$69
Ct scan of blood vessels of neck with contrast112$7,658$67
Mri scan of upper spinal canal without contrast39$5,499$141
Mri scan of brain without contrast34$4,132$122
Mri scan of blood vessels of head without contrast79$3,803$48
Mri scan of lower spinal canal without contrast64$3,403$53
Ct scan head or brain without contrast47$3,348$71
Ct scan of lower spine without contrast90$3,184$35
Ultrasound of both sides of head and neck blood flow18$2,959$164
Mri scan of middle spinal canal before and after contrast32$2,741$86
Mri scan of lower spinal canal before and after contrast31$2,736$88
Ultrasound scan of head and neck soft tissue28$2,666$95
Mri scan of upper spinal canal without contrast48$2,610$54
Mri scan of upper spinal canal before and after contrast25$2,353$94
Mri scan of middle spinal canal without contrast17$2,274$134
Ct scan of face without contrast65$2,113$33
Mri scan of bone of eye socket, face, and/or neck before and after contrast15$2,096$140
Ct scan of soft tissue of neck with contrast20$1,875$94
Ct scan of middle spine without contrast50$1,820$36
Mri scan of bone of eye socket, face, and/or neck before and after contrast23$1,792$78
Ct scan of face without contrast21$1,775$85
Mri scan of middle spinal canal without contrast27$1,595$59
Ultrasound study of one arm or leg veins with compression and maneuvers12$1,262$105
X-ray of lower and sacral spine, 2-3 views39$1,253$31
Ct scan of lower spine without contrast15$1,249$83
Ct scan of soft tissue of neck with contrast23$1,160$50
Mri scan of blood vessels of head without contrast12$1,103$92
Mri scan of blood vessels of neck before and after contrast13$925$71
Injection, gadobutrol, 0.1 ml40$781$0
Mri scan of blood vessels of neck without contrast14$664$47
Ct scan of lower spine with contrast14$573$41
X-ray of chest, 2 views17$467$27
X-ray of upper spine, 2-3 views12$380$32
Ultrasound study of arm or leg veins with compression and maneuvers13$359$28
X-ray of chest, 2 views29$246$8
X-ray of chest, 1 view29$201$7
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml11$92$0

2021: 37 services

Original Medicare services billed in 2021
Mri scan of brain before and after contrast310$31,586$96
Ct scan head or brain without contrast319$12,133$36
Mri scan of brain before and after contrast126$11,608$89
Mri scan of brain without contrast117$7,542$64
Mri scan of blood vessels of head without contrast120$6,418$53
Mri scan of bone of eye socket, face, and/or neck before and after contrast69$6,226$88
Mri scan of lower spinal canal before and after contrast58$5,718$97
Mri scan of middle spinal canal before and after contrast56$5,718$100
Ct scan of upper spine without contrast128$5,606$43
Mri scan of upper spinal canal before and after contrast43$4,451$101
Ct scan of blood vessels of neck with contrast57$4,135$71
Mri scan of lower spinal canal without contrast67$3,991$60
Ct scan of blood vessels of head with contrast55$3,970$72
Mri scan of upper spinal canal without contrast48$2,975$62
Mri scan of blood vessels of neck before and after contrast39$2,930$75
Mri scan of brain with contrast35$2,720$78
Ct scan of soft tissue of neck with contrast45$2,595$55
Ct scan of soft tissue of neck with contrast41$2,510$56
Mri scan of brain without contrast42$2,390$57
Mri scan of bone of eye socket, face, and/or neck before and after contrast27$2,294$85
Ct scan of lower spine without contrast48$2,134$43
Mri scan of lower spinal canal before and after contrast18$1,885$99
Ct scan of face without contrast45$1,619$36
Mri scan of upper spinal canal without contrast28$1,579$56
Mri scan of lower spinal canal without contrast28$1,573$56
Mri scan of middle spinal canal before and after contrast14$1,497$100
Ct scan of middle spine without contrast33$1,464$43
Mri scan of blood vessels of head without contrast27$1,377$51
Mri scan of upper spinal canal before and after contrast13$1,274$91
Ct scan head or brain without contrast24$823$33
Ct guidance for needle or tube localization14$809$58
Ct scan of face without contrast23$794$35
Ct scan of blood vessels of neck with contrast12$780$65
Mri scan of middle spinal canal without contrast13$766$59
Ct scan of lower spine without contrast14$574$41
Ct scan of upper spine without contrast12$513$43
3d radiographic procedure with computerized image postprocessing11$394$36

2020: 26 services

Original Medicare services billed in 2020
Mri scan of brain before and after contrast167$17,683$105
Ct scan head or brain without contrast210$8,516$39
Mri scan of brain before and after contrast75$7,825$104
Mri scan of brain without contrast56$3,818$68
Mri scan of lower spinal canal before and after contrast32$3,346$105
Ct scan of blood vessels of neck with contrast43$3,333$78
Ct scan of blood vessels of head with contrast40$3,212$80
Mri scan of blood vessels of head without contrast57$3,140$55
Mri scan of bone of eye socket, face, and/or neck before and after contrast31$3,087$96
Ct scan of upper spine without contrast64$2,977$47
Mri scan of middle spinal canal before and after contrast26$2,714$104
Mri scan of lower spinal canal without contrast31$2,084$67
Mri scan of blood vessels of neck before and after contrast24$1,930$80
Mri scan of upper spinal canal before and after contrast18$1,881$105
Mri scan of upper spinal canal without contrast27$1,870$69
Mri scan of lower spinal canal without contrast25$1,691$68
Mri scan of bone of eye socket, face, and/or neck before and after contrast17$1,576$93
Ct scan of soft tissue of neck with contrast19$1,222$64
Ct scan of soft tissue of neck with contrast17$1,073$63
Mri scan of middle spinal canal without contrast15$1,045$70
Mri scan of brain without contrast16$1,023$64
Mri scan of brain with contrast11$914$83
Ct scan of lower spine without contrast20$865$43
Ct scan of face without contrast22$851$39
Mri scan of blood vessels of head without contrast12$659$55
Ct scan of middle spine without contrast13$577$44

Medicaid work

$25,307 in 2024

Medicaid paid $25,307 for 682 billed services this clinician did in 2024, up to 80 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Computed tomography, head or brain; without contrast material503$15,710
CT CERVICAL SPINE W/O CONTRAST MATERIAL85$3,940
MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL65$3,364
CT ANGIOGRAPHY NECK15$1,685
CT MAXILLOFACIAL W/O CONTRAST MATERIAL14$608
Medicaid work by year
2024682580$25,307
20231,297599$37,804
20221,22710119$41,755
2021475435$20,963
2020224324$12,428
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Computed tomography, head or brain; without contrast material877$20,761
MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL158$8,986
CT CERVICAL SPINE W/O CONTRAST MATERIAL226$6,403
CT ANGIOGRAPHY NECK24$1,228
Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing12$426

2022

Largest Medicaid services in 2022
Computed tomography, head or brain; without contrast material736$17,420
MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL126$9,778
CT CERVICAL SPINE W/O CONTRAST MATERIAL162$4,881
MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL62$4,743
CT ANGIOGRAPHY NECK27$1,287
Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing25$1,254
CT MAXILLOFACIAL W/O CONTRAST MATERIAL32$970
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic14$824
MRA HEAD W/O CONTRST MATERIAL15$323
Radiologic examination, chest; 2 views28$274

2021

Largest Medicaid services in 2021
MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL191$13,461
Computed tomography, head or brain; without contrast material258$6,992
CT CERVICAL SPINE W/O CONTRAST MATERIAL13$320
MRA HEAD W/O CONTRST MATERIAL13$189

2020

Largest Medicaid services in 2020
MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL96$9,241
Computed tomography, head or brain; without contrast material116$2,805
CT CERVICAL SPINE W/O CONTRAST MATERIAL12$382

Professional record

NPI
1194067256
Licence
CA A135439, ID MRM-1351California A135439: Current · expires 2028-06-30
Trained
University of Utah School of Medicine, 2013 · 13 years ago
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 2085D0003X (2085D0003X); Internal medicine (207R00000X); Diagnostic radiology (2085R0202X)
Mailing address
300 Pasteur Dr, Stanford, CA, 94305
NPI first listed
2013-03-26
NPI last updated
2024-04-05
NPI record certified
2024-04-05

This is when the NPI record was last certified, not a medical board exam.