Active NPI
Merilee R Summerfield, PA
- Family Medicine Physician
- Spring Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PA14929
- Practice address
- 10225 Austin Dr
Ste #101
Spring Valley, CA 91978-1500 - Phone
- (619) 660-6003
- Fax
- (619) 660-0296
- NPI assigned
- Nov 3, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA14929 | CA | Primary |
Addresses
Primary practice location
10225 Austin Dr
Ste #101
Spring Valley, CA 91978-1500
Mailing address
10225 Austin Dr
Ste# 101
Spring Valley, CA 91978-1500
Phone (619) 660-6003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA14929 | Other | CA | PA LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of California, Geffen School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10225 Austin Dr
Suite 101
Spring Valley, CA 91978-1521
Phone (619) 660-6003
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14929 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Healthcare | Past | Accepting new patients | |
| Sharp Healthcare | Past | Accepting new patients |
Interoperability endpoints
- msummerfield32374@sharphealthcare.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Coronado, CA
- NPI 1730521568
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1477763035
-
dba Sharp Rees-Stealy Clincial Laboratory - Rancho Bernado
- Clinical Medical Laboratory
- San Diego, CA
- NPI 1578530952
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467531988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10225 AUSTIN DR",
"address_2": "STE# 101",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919781500",
"telephone_number": "619-660-6003",
"fax_number": "619-660-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10225 AUSTIN DR",
"address_2": "STE #101",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919781500",
"telephone_number": "619-660-6003",
"fax_number": "619-660-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERFIELD",
"first_name": "MERILEE",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "PA14929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA14929",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.