Individual provider Active NPI

Rachel Abella Sumaquial, RACHEL SUMAQUIAL, PA

  • Physician Assistant
  • Stockton, CA
National Provider Identifier
1366636847
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19194 Issued in CA
Practice address
3601 Brookside Road
Stockton, CA 95211-0001
Phone
(209) 946-2315
Fax
(209) 946-3001
NPI assigned
Aug 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19194 CA Primary
Family Nurse Practitioner 363LF0000X 17129 CA

Addresses

Primary practice location

3601 Brookside Road
Stockton, CA 95211-0001

Mailing address

866 Schmidt CT
Stockton, CA 95209-4351
Phone (209) 598-3218

Other names 1

  • Rachel Abella Sumaquial Professional name

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19194CAMDPhysician Assistant
17129CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1366636847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 SCHMIDT CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094351",
            "telephone_number": "209-598-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 BROOKSIDE ROAD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110001",
            "telephone_number": "209-946-2315",
            "fax_number": "209-946-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMAQUIAL",
        "first_name": "RACHEL",
        "middle_name": "ABELLA",
        "name_prefix": "Mrs.",
        "credential": "RACHEL SUMAQUIAL, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19194",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SUMAQUIAL",
            "middle_name": "ABELLA",
            "credential": "RACHEL SUMAQUIAL, PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.