Antelope Valley Summit Medical Group, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

ANTELOPE VALLEY SUMMIT MEDICAL GROUP, INC

Doing business as

Summit Urgent Care

Practice address

38656 Medical Center Dr Ste C
Palmdale, CA 93551-4695

Phone

(661) 273-7100

Fax

(661) 208-4885

NPI assigned

Apr 6, 2011

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karunyan Arulanantham, M.D.NPI 1548217680

Title

Owner

Phone

(661) 273-7100

Specialties & licenses 1

Addresses

Other names 1

• Summit Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Antelope Vlly SMMT Med GRP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Medical Group

  dba Summit Urgent Care

  • Urgent Care Clinic/Center
  • Palmdale, CA
  • NPI 1972918977
  NPD tax ID
• Summit Medical Partners

  • Internal Medicine Physician
  • Palmdale, CA
  • NPI 1245064609
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Summit Medical Partners

  • Internal Medicine Physician
  • Palmdale, CA
  • NPI 1245064609
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karunyan Arulanantham, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lancaster, CA
  • NPI 1548217680
  Medicare reassignment Authorized official
• Michelle Ledbetter, NP-C

  • Family Nurse Practitioner
  • Palmdale, CA
  • NPI 1841710886
  Medicare reassignment NPD
• Linda Marie Plush, FNP

  • Family Nurse Practitioner
  • Palmdale, CA
  • NPI 1619959376
  Medicare reassignment NPD

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1578852901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38656 MEDICAL CENTER DR STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514695",
            "telephone_number": "661-273-7100",
            "fax_number": "661-208-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38656 MEDICAL CENTER DR STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514695",
            "telephone_number": "661-273-7100",
            "fax_number": "661-208-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY SUMMIT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "ARULANANTHAM",
        "authorized_official_first_name": "KARUNYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-273-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.