Summitcare Medical

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

SUMMITCARE MEDICAL

Practice address

1582 W San Marcos Blvd Ste 100
San Marcos, CA 92078-4081

Phone

(442) 222-1514

Fax

(949) 841-1591

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Bushra Jafrey

Title

Manager

Phone

(442) 222-1514

Specialties & licenses 1

Addresses

Other names 2

• Collaborative Health Doing business as
• Collaborative Primary Care Doing business as

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1720855505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR STE 705-832",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303320",
            "telephone_number": "442-222-1514",
            "fax_number": "949-841-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "442-222-1514",
            "fax_number": "949-841-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMITCARE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "JAFREY",
        "authorized_official_first_name": "BUSHRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "442-222-1514"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Collaborative Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Sullivan, DDS
• Clare Elizabeth Sullivan, PT, NCS
• Desiree Sullivan
• James Michael Sullivan, D.C.
• Brittany Sumerel, PA-C
• Sun Smile Dental Group
• Sophia Suon
• Surgical Physician Assistant Services Incorporated
• Christine Elizabeth Sutherland, FNP-C
• Alivia Sutter

• Adult Medicine Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.