Active NPI
California Sports Concussion
- Health Service Clinic/Center
- Simi Valley, CA
National Provider Identifier
1376973446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- DC24620
- Legal business name
- CALIFORNIA SPORTS CONCUSSION
- Practice address
- 2345 Erringer Rd
210
Simi Valley, CA 93065-2235 - Phone
- (805) 582-0007
- NPI assigned
- Nov 26, 2013
- 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
- Dr. David Andrew Sommer, D.C.
- Title
- Owner
- Phone
- (805) 582-0007
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | DC24620 | CA | Primary |
Addresses
Primary practice location
2345 Erringer Rd
210
Simi Valley, CA 93065-2235
Mailing address
2345 Erringer Rd
210
Simi Valley, CA 93065-2235
Phone (805) 582-0007
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385424000000",
"number": "1376973446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 ERRINGER RD",
"address_2": "210",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652235",
"telephone_number": "805-582-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 ERRINGER RD",
"address_2": "210",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652235",
"telephone_number": "805-582-0007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA SPORTS CONCUSSION",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-26",
"last_updated": "2013-11-26",
"status": "A",
"authorized_official_last_name": "SOMMER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-582-0007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": "DC24620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.