Summit Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUMMIT SURGERY CENTER LLC

Practice address

5924 Stoneridge Dr
206
Pleasanton, CA 94588-2887

Phone

(925) 469-9120

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Navin Mallavaram

Title

President

Phone

(925) 469-9120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1619318391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR",
            "address_2": "206",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882887",
            "telephone_number": "925-469-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR",
            "address_2": "206",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882887",
            "telephone_number": "925-469-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "MALLAVARAM",
        "authorized_official_first_name": "NAVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-469-9120"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amerind Sugiarto, M.S. CCC-SLP
• Kumar Sukhdeo, M.D., PH.D.
• Kyle Patrick Sullivan, C.O
• Lynne Ann Sullivan, D.C.
• Marie De la Paz Sum, PSY.D.
• Chao Sun, M.D.
• Hongwei Sun, ACUPUNCTURIST
• Joanne Sun
• Shan-Lei Sun, D.D.S.
• Thomas Yang Sun, MD

• Ambulatory Surgical Clinic/Center in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.