Individual provider Active NPI

Summer Chong Rhee-Pizano, PT, LAC

  • Acupuncturist
  • Soquel, CA
National Provider Identifier
1740285808
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9296 Issued in CA
Practice address
2825 Porter St Ste B
Soquel, CA 95073-2467
Phone
(831) 239-9978
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20648 CA
Acupuncturist 171100000X AC9296 CA Primary

Addresses

Primary practice location

2825 Porter St Ste B
Soquel, CA 95073-2467

Mailing address

1500 Park Ave
Unit 2
Capitola, CA 95010-2448
Phone (831) 239-9978

Other identifiers 4

IdentifierTypeStateIssuer
0PT206481OtherCABLUE SHIELD
CA0092960OtherBLUE SHIELD
OPT206480OtherCABLUE SHIELD PROVIDER NUMB
CA0092961OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20648CAMDClinical Social Worker
AC9296CAMDAcupuncturist
PT20648CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Medical Clinic, Inc Past Accepting new patients

Organizations & group practices 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1740285808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PARK AVE",
            "address_2": "UNIT 2",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102448",
            "telephone_number": "831-239-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 PORTER ST STE B",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732467",
            "telephone_number": "831-239-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEE-PIZANO",
        "first_name": "SUMMER",
        "middle_name": "CHONG",
        "name_prefix": "Mrs.",
        "credential": "PT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20648",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0PT206481",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "CA0092960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "OPT206480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "CA0092961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.