Organization Active NPI

Sommer Sports Chiropractic, Inc.

  • Chiropractor
  • Simi Valley, CA
National Provider Identifier
1043493349
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24620 Issued in CA
Legal business name
SOMMER SPORTS CHIROPRACTIC, INC.
Practice address
2345 Erringer Rd Ste 210
Simi Valley, CA 93065-2250
Phone
(805) 582-0007
Fax
(805) 528-0003
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. David SommerNPI 1396818282
Title
Chiropractor
Phone
(805) 582-0007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 24620 CA Primary

Addresses

Primary practice location

2345 Erringer Rd Ste 210
Simi Valley, CA 93065-2250

Mailing address

2345 Erringer Rd Ste 210
Simi Valley, CA 93065-2250
Phone (805) 582-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000750 CA Part B Supplier - Clinic/Group Practice 6709862824 Receives reassigned benefits from 1 practitioner
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

2345 Erringer Rd
Ste 210
Simi Valley, CA 93065
Phone (805) 582-0007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1043493349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 ERRINGER RD STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652250",
            "telephone_number": "805-582-0007",
            "fax_number": "805-528-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 ERRINGER RD STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652250",
            "telephone_number": "805-582-0007",
            "fax_number": "805-528-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMMER SPORTS CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "805-582-0007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.