The Spine Clinic of Monterey

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A72826 Issued in CA

Legal business name

THE SPINE CLINIC OF MONTEREY

Practice address

8053 Valencia St
Aptos, CA 95003-4073

Phone

(831) 688-8680

Fax

(831) 688-8817

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Destry Setser

Title

Pres

Phone

(800) 333-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHRISTOPHER D SUMMA MD Doing business as

Locations

Practitioners 2

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

• Christopher Summa, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Soquel, CA
  • NPI 1669548640
  NPD (past)
• David M Wall, MPA, PA-C

  • Physician Assistant
  • Santa Cruz, CA
  • NPI 1619296548
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124060900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 VALENCIA ST",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8053 VALENCIA ST",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034073",
            "telephone_number": "831-688-8680",
            "fax_number": "831-688-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE CLINIC OF MONTEREY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SETSER",
        "authorized_official_first_name": "DESTRY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "800-333-9800"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A72826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5617494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTOPHER D SUMMA MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rashika Sunku
• Caci Benjamin Tassano, MA
• Elizabeth V Tatum, LMFT
• Danielle Cross Techner, ATC
• The Circle Family Center
• Therafit Inc
• Tera Threewit, CMP
• Thrifty Payless Inc
• Shae Thysse, MA
• Clare Tooth, M.A.

• Non-Pharmacy Dispensing Site in Aptos, CA
• Providers in Aptos, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.