Summit Medical Holdings LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SUMMIT MEDICAL HOLDINGS LLC

Practice address

2670 Crimson Canyon Dr Ste 110
Las Vegas, NV 89128-0848

Phone

(702) 232-3189

Fax

(702) 726-9543

NPI assigned

May 22, 2025

Organization subpart

No

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

Authorized official

Name

Sherryl Takahashi

Title

Billing Manager

Phone

(702) 233-6196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1205629359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRIMSON CANYON DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280848",
            "telephone_number": "702-232-3189",
            "fax_number": "702-726-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRIMSON CANYON DR STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280848",
            "telephone_number": "702-232-3189",
            "fax_number": "702-726-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "TAKAHASHI",
        "authorized_official_first_name": "SHERRYL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "702-233-6196"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Ipo LLC
• Summit Medical Center
• Summit Medical Group (Abdou & Bacchus) PC
• Summit Medical Group LLC
• Summit Medical Group of Colorado PC
• Summit Mental Health
• Summit Primary Care & Wellness
• Summit Ridge Calderon PC
• Summit Specialty Physicians Inc
• Summit Surgical Center LLC

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

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