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SUMMIT HEALTH GROUP INC NPI 1497125868


NPI Information

NPI: 1497125868
Provider Name: SUMMIT HEALTH GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1102244

Address:
55 ROLLING OAKS DR
STE 100
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 499-4446
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SUMMIT HEALTH GROUP INC is a family medicine in Thousand Oaks, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUMMIT HEALTH GROUP INC NPI is 1497125868. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 ROLLING OAKS DR
STE 100
THOUSAND OAKS, CA
ZIP 91361-010
Phone: (805) 499-4446
Fax: (805) 499-3636

The provider's authorized official is Dannelle Mcdermott .
The authorized official title is Administrator and has the following contact phone number (805) 499-4446.

The CLIA number assigned to this NPI record is 05D1102244 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/29/2015 and was last updated on 9/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2111N00000XChiropractorNo
3171100000XAcupuncturistNo
4225100000XPhysical TherapistNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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