Individual provider Active NPI

Celia Sommer

  • Periodontics
  • Ventura, CA
National Provider Identifier
1003339391
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
111149 Issued in CA
Practice address
1190 S Victoria Ave Ste 305
Ventura, CA 93003-6565
Phone
(805) 644-9664
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 111149 CA Primary

Addresses

Primary practice location

1190 S Victoria Ave Ste 305
Ventura, CA 93003-6565

Mailing address

1190 S Victoria Ave Ste 305
Ventura, CA 93003-6565
Phone (805) 644-9664

Other practice location 1

122 S Patterson Ave Ste 202
Santa Barbara, CA 93111-4019
Phone (805) 964-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111149CAMDPeriodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1003339391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S VICTORIA AVE STE 305",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036565",
            "telephone_number": "805-644-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S VICTORIA AVE STE 305",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036565",
            "telephone_number": "805-644-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 S Patterson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931114019",
            "country_code": "US",
            "telephone_number": "805-964-8804",
            "fax_number": "805-964-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "CELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "111149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.