Lauren Chiemi Sumida, MD
Pathology · San Diego
- 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
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 itOverall 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.
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.204 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.627 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.164 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.5 (0.45 to 2.54) · 400 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.01 (0.61 to 1.42) | No different | Jul 2022 – Jun 2024 |
| Death rate for heart failure patientsComplications and deaths | 13.3 · 28 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.3 · 332 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.8 · 5,878 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.19 (0 to 0.42) · 1,732 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.25 (0.04 to 0.46) · 1,721 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.73 (1.33 to 6.12) · 434 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.61 (0 to 3.31) · 186 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.35 (0.72 to 3.98) · 421 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 9.39 (0.49 to 18.28) · 181 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.41 (1.35 to 9.47) · 179 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.69 (0.19 to 3.19) · 115 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.61 (0 to 1.51) · 1,270 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.8 · 279 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.757 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.629 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13 · 158 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.6 · 1,165 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 33.1 · 30 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.5 · 960 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5 · 300 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 20 · 285 cases | None | Jul 2023 – Jun 2025 |
What patients said (1,483 patients answered, 26% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 4 |
| Communication about medicines | 3 |
| Discharge information | 4 |
| Overall hospital rating | 4 |
| Quietness | 3 |
| Recommend hospital | 4 |
| Room was "always" clean | 73% |
| Nurses "always" communicated well | 79% |
| Doctors "always" communicated well | 81% |
| Staff "always" explained | 64% |
| Yes, staff "did" give patients this information | 90% |
| Yes, staff "did" give patients information about help after discharge | 90% |
| Doctors "always" explained things so they could understand | 76% |
| Doctors "always" listened carefully | 81% |
| Doctors "always" treated them with courtesy and respect | 87% |
| Patients who gave a rating of "9" or "10" (high) | 77% |
| Staff "always" explained new medications | 78% |
| Nurses "always" explained things so they could understand | 74% |
| Nurses "always" listened carefully | 78% |
| Nurses "always" treated them with courtesy and respect | 85% |
| "Always" quiet at night | 57% |
| "YES", patients would definitely recommend the hospital | 77% |
| Staff "always" explained possible side effects | 50% |
| Yes, staff "did" give patients information about possible symptoms | 89% |
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.
| Pathology examination of tissue using a microscope, intermediate complexity | 25 | $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
| 2024 | 36 | 97 | 67 | 2.31 | $22,655 | $3,381 |
| 2023 | 31 | 67 | 70 | 1.33 | $14,142 | $1,964 |
| 2022 | 12 | 25 | 66 | 0.89 | $5,302 | $795 |
| 2020 | 17 | 40 | 67 | 1.28 | $9,292 | $1,384 |
| 2019 | 16 | 38 | 70 | 1.75 | $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
| Pathology examination of tissue using a microscope, intermediate complexity | 24 | $1,054 | $28 |
2022: 1 service
| Pathology examination of tissue using a microscope, intermediate complexity | 11 | $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.
| TISSUE EXAM BY PATHOLOGIST | 538 | $19,882 |
| TISSUE EXAM BY PATHOLOGIST | 16 | $60 |
| 2024 | 554 | 2 | 42 | $19,942 |
| 2023 | 359 | 2 | 34 | $9,481 |
| 2022 | 332 | 1 | 32 | $7,836 |
| 2021 | 115 | 1 | 29 | $2,694 |
| 2019 | 26 | 1 | 14 | $44 |
See the largest Medicaid services in earlier years
2023
| TISSUE EXAM BY PATHOLOGIST | 345 | $9,381 |
| TISSUE EXAM BY PATHOLOGIST | 14 | $100 |
2022
| TISSUE EXAM BY PATHOLOGIST | 332 | $7,836 |
2021
| TISSUE EXAM BY PATHOLOGIST | 115 | $2,694 |
2019
| TISSUE EXAM BY PATHOLOGIST | 26 | $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.