SUMMIT MEDICAL (NPI# 1073805784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073805784 |
| Entity Type | Organization |
| Organization Name | SUMMIT MEDICAL |
| Practice Address |
21520 Pioneer Blvd Ste 203 Hawaiian Gardens CA 90716-2601 |
| Practice Telephone | 8773335036 |
| Practice Fax Number | 8773335037 |
| Mailing Telephone | 8773335036 |
| Mailing Fax Number | 8773335037 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | CHRISTINA HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 8773335036 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMIT MEDICAL EQUIPMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801937065 | Summit Medical | Durable Medical Equipment & Medical Supplies | 2321 Ne Independence Ave Ste C, Lees Summit, MO 64064-2363 | 2007-02-09 |
| 1407260995 | Summit Medical | Internal Medicine | 95 Madison Ave, Suite 2a, Morristown, NJ 07960-6092 | 2014-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT MEDICAL | 9 Hageman Ct, Katonah, NY 10536-3338 |
| Colorado Business Entities | Summit Medical Billing, LLC | Po Box 8226, Denver, CO 80201 |
| Colorado Business Entities | SUMMIT MEDICAL BUILDING, LLC | 155 Vail Cir, Dillon, CO 80435 |
| Colorado Business Entities | SUMMIT MEDICAL CAMPUS LLC | 615 Mitchell Way Ste 103, Erie, CO 80516 |
| Colorado Business Entities | Summit Medical Care Center, LLC | 54 Garden Center, Broomfield, CO 80020 |
| Colorado Business Entities | Summit Medical Care LLC | 54 Garden Center, Broomfield, CO 80020 |
| Colorado Business Entities | Summit Medical Carolinas, PLLC | 5023 W 120th Ave, #312, Broomfield, CO 80020 |
| System for Award Management (SAM) Entities | SUMMIT MEDICAL CENTER, LLC | 1800 S Renaissance Blvd, Edmond, OK 73013-3023 |
| Colorado Business Entities | Summit Medical Clinic East, PLLC | 1380 E Fillmore St, Colorado Springs, CO 80907 |
| Colorado Business Entities | Summit Medical Consultants, PLLC | 5023 W. 120th Avenue #312, Broomfield, CO 80020 |
| Street Address |
21520 PIONEER BLVD STE 203 |
| City | HAWAIIAN GARDENS |
| State | CA |
| Zip Code | 90716-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619204997 | Platinum Medical Management, Inc. | Radiologic Technologist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2009-11-07 |
| 1649829151 | Edith Guadalupe Lagos Navarro | Marriage & Family Therapist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2019-09-06 |
| 1891276234 | Yesenia Chavezgonzalez | Rehabilitation Practitioner | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2018-08-23 |
| 1497184139 | Fabian Barajas Gonzalez | Rehabilitation Practitioner | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2013-11-04 |
| 1063708675 | Platinum Medical Group, Inc. | Contractor | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2011-06-22 |
| 1760776017 | Onyx Management Group, Inc. | Contractor | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2011-06-03 |
| 1083946180 | Platinum Medical Group | Specialist | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053708081 | Pathway Medical Group | Specialist | 21500 S. Pioneer Blve Suite 210, Hawaiian Gardens, CA 90716 | 2015-04-16 |
| 1790032605 | Nancy Perez | Registered Nurse | 22009 Verne Ave, Hawaiian Gardens, CA 90716 | 2012-08-09 |
| 1194098210 | Ismael B. Nacino Md Inc | Anesthesiology | 21530 Pioneer Bl, Hawaiian Garden, CA 90716 | 2012-02-21 |
| 1326248832 | William Martin Wright | Counselor | 21520 S. Pioneer Blvd., Hawaiian Gardens, CA 90716 | 2007-07-23 |
| 1134341514 | Girish H Rami | Dentist | 12144 E Carson St, # E, Hawaiian Gardens, CA 90716 | 2007-05-03 |
| 1578684080 | Keun Chan Lee | Dentist | 12531 E Carson St, Hawaiian Gardens, CA 90716 | 2007-04-02 |
| 1154451995 | Consuelo Ramirez | Social Worker | 21520 S. Pioneer Bvld., Suite 110, Hawaiian Gardens, CA 90716 | 2007-03-07 |
| 1326102013 | Hyun Chan Lee | Dentist | 12137 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-20 |
| 1871656488 | Elena G Ezpeleta | Anesthesiology | 21530 South Pioneer Blvd, Hawaiian Gardens, CA 90716 | 2006-12-18 |
| 1144388687 | Jong Chul Han | Dentist | 11846 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-05 |
| Find all providers in zip 90716 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063708675 | Platinum Medical Group, Inc. | Contractor | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2011-06-22 |
| 1760776017 | Onyx Management Group, Inc. | Contractor | 21520 Pioneer Blvd Ste 203, Hawaiian Gardens, CA 90716-2601 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324012 | Bailey Rose Medical Billing LLC | Contractor | 839 Fan Palm Ln, Brentwood, CA 94513-5680 | 2020-10-21 |
| 1245837566 | Irshad H Fardan | Contractor | 2167 Pasetta Dr Apt 1, Santa Clara, CA 95050-3249 | 2020-10-09 |
| 1245838531 | Karen Strickland | Contractor | 3450 Sacramento St # 531, San Francisco, CA 94118-1914 | 2020-10-09 |
| 1831796879 | Laura Barker | Contractor | 55 River Oaks Pl Apt 381, San Jose, CA 95134-2074 | 2020-10-02 |
| 1477167054 | Jarib Takezhi Concilco Colin | Contractor | 3862 Sherwood Pl, Sherman Oaks, CA 91423-4608 | 2020-09-01 |
| 1609492289 | Neil Sankar | Contractor | 3610 Flora Vista Ave Apt 238, Santa Clara, CA 95051-3508 | 2020-06-19 |
| 1467077404 | Eric Avirett | Contractor | 1944 Bonita Ave, Berkeley, CA 94704-1038 | 2020-06-16 |
| 1699305805 | Sanjiv Ramdeo | Contractor | 710 Santa Susana St, Sunnyvale, CA 94085-3470 | 2020-01-16 |
| 1407498942 | Terry Lee Moffit | Contractor | 1165 W 15th St, San Bernardino, CA 92411-1811 | 2019-10-16 |
| 1538701693 | Ramin P Shirazi IIi | Contractor | 25411 Mina Ct, Lake Forest, CA 92630-5311 | 2019-10-10 |
| Find all providers with the same taxonomy | ||||
| City | HAWAIIAN GARDENS |
| Zip Code | 90716 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.