Active NPI
Marguerite Gozun Sumadchat, PT
- Specialist
- Chino, CA
National Provider Identifier
1295064376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 37777
- Practice address
- 13572 Goldmedal Ave
Chino, CA 91710-8349 - Phone
- (818) 585-1891
- Fax
- (818) 626-3124
- NPI assigned
- Dec 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 37777 | CA | Primary |
Addresses
Primary practice location
13572 Goldmedal Ave
Chino, CA 91710-8349
Mailing address
13572 Goldmedal Ave
Chino, CA 91710-8349
Phone (818) 585-1891
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37777 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1295064376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13572 GOLDMEDAL AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917108349",
"telephone_number": "818-585-1891",
"fax_number": "818-626-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13572 GOLDMEDAL AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917108349",
"telephone_number": "818-585-1891",
"fax_number": "818-626-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMADCHAT",
"first_name": "MARGUERITE",
"middle_name": "GOZUN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-18",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "37777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.