Individual provider Active NPI

Summer Moss

  • Physical Therapist
  • Vallejo, CA
National Provider Identifier
1508489774
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297231 Issued in CA
Practice address
665 Walnut Ave
Vallejo, CA 94592-1177
Phone
(707) 556-8921
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 297231 CA Primary

Addresses

Primary practice location

665 Walnut Ave
Vallejo, CA 94592-1177

Mailing address

503 32ND St
Oakland, CA 94609-3005
Phone (619) 709-7003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423004282 CA Practitioner - Physical Therapist in Private Practice 9931548997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Aug 22, 2024 Accepting new patients
Barman & Sargent Inc CurrentSince Mar 20, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 22, 2024 Accepting new patients
Barman & Sargent Inc Physical Therapist CurrentSince Mar 20, 2024 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Vallejo City Unified School District PastSince May 24, 2020 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

315 Diablo Rd
Ste 110
Danville, CA 94526
Phone (925) 855-8343

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

1500 Owens St
Ste 400
San Francisco, CA 94158
Phone (415) 353-7598

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1508489774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 32ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093005",
            "telephone_number": "619-709-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 WALNUT AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921177",
            "telephone_number": "707-556-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SUMMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.