Active NPI
Sum Tran MD Inc
- Surgery of the Hand (Plastic Surgery) Physician
- Valencia, CA
National Provider Identifier
1376849281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- A32753
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A307530 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1912956434
-
- Plastic and Reconstructive Surgery Physician
- Valencia, CA
- NPI 1053572396
-
- Family Medicine Physician
- Santa Clarita, CA
- NPI 1295895498
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.