Active NPI
Allen Summers, CNA
- Nurse's Aide
- Los Angeles, CA
National Provider Identifier
1417634932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 01138299
- Practice address
- 6816 Avalon Blvd
Los Angeles, CA 90003-1922 - Phone
- (213) 312-5529
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 01138299 | CA | Primary |
Addresses
Primary practice location
6816 Avalon Blvd
Los Angeles, CA 90003-1922
Mailing address
2216 Via Mariposa E Unit N
Laguna Woods, CA 92637-2227
Phone (310) 877-0620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01138299 | CA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1417634932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 VIA MARIPOSA E UNIT N",
"city": "LAGUNA WOODS",
"state": "CA",
"postal_code": "926372227",
"telephone_number": "310-877-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6816 AVALON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900031922",
"telephone_number": "213-312-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "ALLEN",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CA",
"license": "01138299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.