Individual provider Active NPI

Jocelyn Lao Sumcad, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Paramount, CA
National Provider Identifier
1386732816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A35157 Issued in CA
Practice address
16660 Paramount Blvd
Suite 101
Paramount, CA 90723-5433
Phone
(562) 633-0976
Fax
(562) 401-6247
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A35157 CA Primary

Addresses

Primary practice location

16660 Paramount Blvd
Suite 101
Paramount, CA 90723-5433

Mailing address

PO Box 3608
Palos Verdes Peninsula, CA 90274-9511
Phone (562) 633-0976

Other identifiers 1

IdentifierTypeStateIssuer
00A351570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000631 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8426187428 Practice locations: Paramount, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35157CAMDOptometrist
A35157CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386732816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3608",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902749511",
            "telephone_number": "562-633-0976",
            "fax_number": "562-401-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16660 PARAMOUNT BLVD",
            "address_2": "SUITE 101",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235433",
            "telephone_number": "562-633-0976",
            "fax_number": "562-401-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMCAD",
        "first_name": "JOCELYN",
        "middle_name": "LAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A35157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A351570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.