Organization Active NPI

Sum Tran MD Inc

  • Surgery of the Hand (Plastic Surgery) Physician
  • Valencia, CA
National Provider Identifier
1376849281
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
A32753 Issued in CA
Legal business name
SUM TRAN MD INC
Practice address
23823 Valencia Blvd
#220
Valencia, CA 91355-2103
Phone
(661) 253-2211
Fax
(661) 253-0016
NPI assigned
Feb 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Mrs. Cheryl Mattillo
Title
Office Manager
Phone
(661) 253-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X A32753 CA Primary

Addresses

Primary practice location

23823 Valencia Blvd
#220
Valencia, CA 91355-2103

Mailing address

23823 Valencia Blvd
#220
Valencia, CA 91355-2103
Phone (661) 253-2211

Other identifiers 1

IdentifierTypeStateIssuer
00A307530MedicaidCA

National Provider Directory

National Provider Directory

Locations

23206 Lyons Ave
Ste 201
Santa Clarita, CA 91321
Phone (661) 253-2211

23823 Valencia Blvd
Ste 220
Valencia, CA 91355
Phone (661) 253-2211

Practitioners & affiliated clinicians

Practitioners 3

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": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1376849281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "#220",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552103",
            "telephone_number": "661-253-2211",
            "fax_number": "661-253-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "#220",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552103",
            "telephone_number": "661-253-2211",
            "fax_number": "661-253-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUM TRAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "MATTILLO",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-253-2211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A32753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A307530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.