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Lauren Chiemi Sumida, MD

Pathology · San Diego

NPI 1659632776

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 · Southern California Permanente Medical Group · 11,250 clinicians in this group

Looking this up.

Hospitals listed: Kaiser Foundation Hospital - Zion. 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. Sumida’s office at (619) 528-5000 to ask if they take your plan before you enroll.

California Medical Board record

Licence A141253 · Current

Licensed to practise in California · since 2016 · expires 2028-01-31 · University of Hawaii School of Medicine.

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

Hospitals they work in

1 hospital

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

  • Kaiser Foundation Hospital - San DiegoSan Diego, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 4 of 5 · 77% would definitely recommend it
    Overall rating: 4 of 5 starsBetter than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.204, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.627, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.164, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital - San Diego

Behind the star rating — Deaths: 0 better, 2 the same, 0 worse of 2 measures. Safety: 3 better, 3 the same, 0 worse of 6 measures. Readmissions: 0 better, 3 the same, 0 worse of 3 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Kaiser Foundation Hospital - San Diego
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.204BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.627BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.164BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.5 (0.45 to 2.54) · 400 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.01 (0.61 to 1.42)No differentJul 2022 – Jun 2024
Death rate for heart failure patientsComplications and deaths13.3 · 28 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.3 · 332 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.8 · 5,878 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.42) · 1,732 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.25 (0.04 to 0.46) · 1,721 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.73 (1.33 to 6.12) · 434 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.61 (0 to 3.31) · 186 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.35 (0.72 to 3.98) · 421 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths9.39 (0.49 to 18.28) · 181 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.41 (1.35 to 9.47) · 179 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.69 (0.19 to 3.19) · 115 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.61 (0 to 1.51) · 1,270 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.8 · 279 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.757No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.629No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13 · 158 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.6 · 1,165 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits33.1 · 30 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17.5 · 960 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits5 · 300 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20 · 285 casesNoneJul 2023 – Jun 2025

What patients said (1,483 patients answered, 26% of those asked)

Patient survey stars by topic at Kaiser Foundation Hospital - San Diego
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital4
Share of patients giving the best answer at Kaiser Foundation Hospital - San Diego
Room was "always" clean73%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained64%
Yes, staff "did" give patients this information90%
Yes, staff "did" give patients information about help after discharge90%
Doctors "always" explained things so they could understand76%
Doctors "always" listened carefully81%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications78%
Nurses "always" explained things so they could understand74%
Nurses "always" listened carefully78%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night57%
"YES", patients would definitely recommend the hospital77%
Staff "always" explained possible side effects50%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$3,381

Medicare paid this office $3,381 for 36 people.

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

Largest Original Medicare bills
Pathology examination of tissue using a microscope, intermediate complexity25$1,312$29

Who their Medicare patients are

36 Original Medicare patients in 2024. Average age 67 · Women 67% · Also on Medicaid 50% · Health risk score 2.31. Above the middle of the specialty; the typical pathology clinician is at 1.55.

Conditions among them: High blood pressure 58% · Depression 39% · Chronic kidney disease 36% · Diabetes 31%.

The office billed $22,655, Medicare allowed $4,352 and paid $3,381; for 97 services of 14 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
20243697672.31$22,655$3,381
20233167701.33$14,142$1,964
20221225660.89$5,302$795
20201740671.28$9,292$1,384
20191638701.75$7,576$1,315

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: 1 service

Original Medicare services billed in 2023
Pathology examination of tissue using a microscope, intermediate complexity24$1,054$28

2022: 1 service

Original Medicare services billed in 2022
Pathology examination of tissue using a microscope, intermediate complexity11$565$31

Medicaid work

$19,942 in 2024

Medicaid paid $19,942 for 554 billed services this clinician did in 2024, up to 42 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
TISSUE EXAM BY PATHOLOGIST538$19,882
TISSUE EXAM BY PATHOLOGIST16$60
Medicaid work by year
2024554242$19,942
2023359234$9,481
2022332132$7,836
2021115129$2,694
201926114$44
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
TISSUE EXAM BY PATHOLOGIST345$9,381
TISSUE EXAM BY PATHOLOGIST14$100

2022

Largest Medicaid services in 2022
TISSUE EXAM BY PATHOLOGIST332$7,836

2021

Largest Medicaid services in 2021
TISSUE EXAM BY PATHOLOGIST115$2,694

2019

Largest Medicaid services in 2019
TISSUE EXAM BY PATHOLOGIST26$44

Professional record

NPI
1659632776
Licence
CA A141253, HI MDR-6294California A141253: Current · expires 2028-01-31
Trained
University of Hawaii John A. Burns School of Medicine, 2012
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207ZP0101X (207ZP0101X); Student in a training program (390200000X)
Mailing address
4647 Zion Ave, San Diego, CA, 92120
NPI first listed
2012-06-05
NPI last updated
2021-12-03
NPI record certified
2021-10-05

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

Extra NPI addresses: 651 Ilalo St, Honolulu, HI, 96813

This office lists an electronic records connection.