Individual provider Active NPI

Summer Ray Laquerre, CRNA

  • Certified Registered Nurse Anesthetist
  • Tarzana, CA
National Provider Identifier
1407483704
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001381 Issued in CA
Practice address
18840 Ventura Blvd Ste 100
Tarzana, CA 91356-3382
Phone
(805) 794-5350
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 584615 CA
Certified Registered Nurse Anesthetist 367500000X 95001381 CA Primary

Addresses

Primary practice location

18840 Ventura Blvd Ste 100
Tarzana, CA 91356-3382

Mailing address

22555 Waterbury St
Woodland Hills, CA 91364-4924
Phone (805) 794-5350

Other practice location 1

22555 Waterbury St
Woodland Hills, CA 91364-4924
Phone (805) 794-5350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201228002419 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254744881 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
584615CAMDRegistered Nurse
95001381CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince May 17, 2025 Accepting new patients
SCQ Anesthesia a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2022 Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Alexander P. Hersel, M.D., Inc CurrentSince Aug 5, 2021 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Current Accepting new patients
San Fernando Valley Vascular Group a Medical Corporation Past Accepting new patients

Locations

4500 Trade Center Dr
#B
Bakersfield, CA 93311
Phone (818) 348-7253

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

7640 Tampa Ave
Ste 102
Reseda, CA 91335
Phone (818) 674-4888

4500 Brockton Ave
Ste 105
Riverside, CA 92501
Phone (951) 784-4088

18840 Ventura Blvd
Ste 100A
Tarzana, CA 91356

18840 Ventura Blvd
Ste 100
Tarzana, CA 91356
Phone (805) 794-5350

18840 Ventura Blvd
#100A
Tarzana, CA 91356

18840 Ventura Blvd
Tarzana, CA 91356

1120 Newbury Rd
Ste 150
Thousand Oaks, CA 91320
Phone (805) 557-0096

7230 Medical Center Dr
Ste 405
West Hills, CA 91307

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBCJAA

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1407483704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22555 WATERBURY ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644924",
            "telephone_number": "805-794-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18840 VENTURA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563382",
            "telephone_number": "805-794-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22555 Waterbury St",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913644924",
            "country_code": "US",
            "telephone_number": "805-794-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAQUERRE",
        "first_name": "SUMMER",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "584615",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.