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Hector Guzman, MD

Anesthesiology · Sacramento

NPI 1316023831

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Central Anesthesia Service Exchange Medical Group Inc · 106 clinicians in this group

Looking this up.

Hospitals listed: Sierra Nevada Memorial Hospital · Sutter Auburn Faith Hospital · 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. Guzman’s office at (916) 481-6800 to ask if they take your plan before you enroll.

California Medical Board record

Licence G73951 · Current

Licensed to practise in California · since 1992 · expires 2027-09-30 · University of Washington School of Medicine.

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

Hospitals they work in

3 hospitals

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

  • Sierra Nevada Memorial HospitalGrass Valley, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of CommonSpirit Health, which runs 145 hospitals in 19 statesPatients rate it 3 of 5 · 71% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.118, 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 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 Sierra Nevada Memorial Hospital

Behind the star rating — Deaths: 1 better, 5 the same, 0 worse of 6 measures. Safety: 1 better, 3 the same, 1 worse of 5 measures. Readmissions: 1 better, 8 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 Sierra Nevada Memorial Hospital
Clostridium Difficile (C.Diff)Infections0.118BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.2 (0.17 to 2.23) · 434 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.83 (0.44 to 1.23)No differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths9.9 · 129 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.2 · 27 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths11.1 · 278 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths13.4 · 234 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths9.9 · 153 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 1,408 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.25 (0.02 to 0.47) · 3,431 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.08 to 0.49) · 3,403 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.54 (1.21 to 5.88) · 543 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.56 (0 to 3.24) · 86 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.14 (0.48 to 3.8) · 524 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.74 (0 to 15.38) · 85 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.43 (1.37 to 9.5) · 80 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.64 (0.16 to 3.12) · 131 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.26 (0 to 1.13) · 2,939 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.3 · 47 casesNoneApr 2023 – Mar 2025
MRSA BacteremiaInfections0No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.644No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.5 · 276 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-22.4 · 283 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits9.5 · 231 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.9 · 214 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4.8 (3.3 to 6.9) · 229 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (8.1 to 14.2) · 229 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.6 · 44 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.9 · 139 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.3 (9.8 to 17.8) · 67 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.3 (0.9 to 1.7) · 162 casesNo differentJan 2024 – Dec 2024

What patients said (468 patients answered, 22% of those asked)

Patient survey stars by topic at Sierra Nevada Memorial Hospital
Cleanliness4
Nurse communication4
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Sierra Nevada Memorial Hospital
Room was "always" clean79%
Nurses "always" communicated well83%
Doctors "always" communicated well77%
Staff "always" explained64%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge83%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect85%
Patients who gave a rating of "9" or "10" (high)72%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully81%
Nurses "always" treated them with courtesy and respect90%
"Always" quiet at night47%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects51%
Yes, staff "did" give patients information about possible symptoms88%
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 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

$55,501

Medicare paid this office $55,501 for 320 people.

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

Largest Original Medicare bills
Anesthesia for procedure for total knee joint replacement24$6,101$235
Anesthesia for lens surgery42$4,582$104
Anesthesia for total hip replacement18$4,317$240
Anesthesia for open or endoscopic total shoulder joint replacement13$3,749$288
Anesthesia for other procedure on large bowel using an endoscope27$3,101$115
See all 12 services
Every Original Medicare service billed
Anesthesia for procedure for total knee joint replacement24$6,101$235
Anesthesia for lens surgery42$4,582$104
Anesthesia for total hip replacement18$4,317$240
Anesthesia for open or endoscopic total shoulder joint replacement13$3,749$288
Anesthesia for other procedure on large bowel using an endoscope27$3,101$115
Anesthesia for other procedure on upper abdomen12$3,004$250
Anesthesia for procedure on small and large bowel using an endoscope15$2,372$158
Anesthesia for other procedure on lower abdomen11$2,047$186
Anesthesia for removal of prostate including use of an endoscope11$1,760$160
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)32$1,536$45
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope13$1,465$113
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)21$1,159$55

Who their Medicare patients are

320 Original Medicare patients in 2024. Average age 74 · Under 65 5% · 85 and older 9% · Women 50% · Also on Medicaid 12% · Health risk score 1.33. At or below the middle of the specialty; the typical anesthesiology clinician is at 1.54.

Conditions among them: High blood pressure 75% · Coronary heart disease 32% · Chronic kidney disease 32% · Diabetes 27% · Depression 23% · Atrial fibrillation 21% · Heart failure 19% · Cancer 18% · COPD 18% · Dementia 6% · Stroke 4%.

The office billed $454,320, Medicare allowed $69,343 and paid $55,501; for 394 services of 55 kinds.

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
2024320394741.33$454,320$55,501
2023294359731.36$420,120$53,657

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: 10 services

Original Medicare services billed in 2023
Anesthesia for lens surgery43$5,197$111
Anesthesia for procedure for total knee joint replacement18$4,426$246
Anesthesia for other procedure on lower abdomen16$3,337$209
Anesthesia for procedure on small and large bowel using an endoscope19$3,091$163
Anesthesia for total hip replacement12$2,948$246
Anesthesia for other procedure on upper abdomen11$2,934$245
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope22$2,787$121
Anesthesia for other procedure on large bowel using an endoscope16$2,045$128
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)19$1,062$56
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)20$964$48

Professional record

NPI
1316023831
Licence
CA G73951California G73951: Current · expires 2027-09-30
Trained
University of Washington School of Medicine, 1988
Gender
Male
More record details
Sole proprietor
No
Medicaid ID
CA 00G739510
Taxonomy
Federal specialty code 207L00000X (207L00000X)
Mailing address
1800 Harrison St Fl 7, Oakland, CA, 94612
NPI first listed
2006-10-27
NPI last updated
2021-12-01

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

This office lists an electronic records connection.