NPIMap

Organization Active NPI

Silver Summit Medical Corporation

  • Cardiovascular Disease Physician
  • Bakersfield, CA
National Provider Identifier
1386754273
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SILVER SUMMIT MEDICAL CORPORATION
Practice address
5020 Commerce Dr Ste a
Bakersfield, CA 93309-0631
Phone
(661) 324-4100
Fax
(661) 324-4600
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Dulce Lomeli
Title
Executive Assistant
Phone
(661) 324-4100

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X CA Primary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X CA
Nuclear Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207UN0901X CA

Addresses

Primary practice location

5020 Commerce Dr Ste a
Bakersfield, CA 93309-0631

Mailing address

PO Box 748792
Los Angeles, CA 90074-8792
Phone (661) 324-4100

Other identifiers 6

IdentifierTypeStateIssuer
GR0071832OtherCAMEDI-CAL PROVIDER NUMBER
ZZZ15436ZOtherCAMEDICARE PROVIDER NUMBER
ZZZ20790ZOtherCAMEDICARE PROVIDER NUMBER
ZZZ13353ZOtherCAMEDICARE PROVIDER NUMBER
ZZZ16171ZOtherCAMEDICARE PROVIDER NUMBER
GR0071830MedicaidCA

Other names 1

  • Heart Vascular and Leg Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000964 CA Part B Supplier - Clinic/Group Practice 6800783283 Receives reassigned benefits from 25 practitioners
3 other NPIs on this enrollment
Practice locations: Bakersfield, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Silver Summit Medical Corporation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

525 34th St
Bakersfield, CA 93301

1408 Commercial Way
Bakersfield, CA 93309
Phone (661) 327-4455

714 Main St
Delano, CA 93215
Phone (661) 721-2220

6404 Lake Isabella Blvd
#B
Lake Isabella, CA 93240
Phone (760) 379-3500

560 W Putnam Ave
Ste 7
Porterville, CA 93257
Phone (559) 788-2670

1240 S China Lake Blvd
Ste A
Ridgecrest, CA 93555
Phone (760) 371-7600

422 James St
#11
Shafter, CA 93263

422 James St
#2
Shafter, CA 93263
Phone (661) 746-1374

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1386754273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748792",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900748792",
            "telephone_number": "661-324-4100",
            "fax_number": "661-324-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 COMMERCE DR STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090631",
            "telephone_number": "661-324-4100",
            "fax_number": "661-324-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SUMMIT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "LOMELI",
        "authorized_official_first_name": "DULCE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "661-324-4100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "GR0071832",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "ZZZ15436Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "ZZZ20790Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "ZZZ13353Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "ZZZ16171Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Vascular and Leg Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.