Summit Medical Supply, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SUMMIT MEDICAL SUPPLY, LLC

Practice address

8362 Redwood Ave
#20
Fontana, CA 92335-8058

Phone

(951) 314-1771

NPI assigned

Oct 21, 2011

Organization subpart

No

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

Authorized official

Name

Mila Davis

Title

Owner

Phone

(951) 314-1771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1508142530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD",
            "address_2": "SUITE 160-493",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889",
            "telephone_number": "951-314-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8362 REDWOOD AVE",
            "address_2": "#20",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358058",
            "telephone_number": "951-314-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-314-1771"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kuzo Sugiyama, M.D.
• Laverni Canonigo Suico, FNP-C
• Michael Jeffrey Sukay, MD
• Oluranti Ruth Sule
• Tanzila Suliman
• Summit Orthodontics
• Sun Mar Nursing Centers (Laurel Convalescent Hospital)
• Yi Yi Sun
• Chithraleka Sundaramurthy, M.D
• Sharon S. Sung, MD

• Prosthetic/Orthotic Supplier in Fontana, CA
• Providers in Fontana, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.