Active NPI
Summer Ray Laquerre, CRNA
- Certified Registered Nurse Anesthetist
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95001381
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 584615 | CA | MD | Registered Nurse |
| 95001381 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Anesthesia Specialists a Medical Corporation | Current | Accepting new patients | |
| SCQ Anesthesia a Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tip Top Anesthesia Group Inc | Current | Accepting new patients | |
| Alexander P. Hersel, M.D., Inc | Current | 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
- 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.
-
- Anesthesiology Physician
- West Hills, CA
- NPI 1871733600
-
dba Pain Management & Injury Relief Medical Center
- Pain Medicine (Anesthesiology) Physician
- Thousand Oaks, CA
- NPI 1063511475
-
- Certified Registered Nurse Anesthetist
- Tarzana, CA
- NPI 1689381105
Nurse Anesthetist, Certified Registered
-
- Licensed Practical Nurse
- Beverly Hills, CA
- NPI 1508283698
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1083130553
-
- Specialist
- Tarzana, CA
- NPI 1518014463
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.