Active NPI
Summer Chong Rhee-Pizano, PT, LAC
- Acupuncturist
- Soquel, CA
National Provider Identifier
1740285808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9296
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0PT206481 | Other | CA | BLUE SHIELD |
| CA0092960 | Other | BLUE SHIELD | |
| OPT206480 | Other | CA | BLUE SHIELD PROVIDER NUMB |
| CA0092961 | Other | CA | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20648 | CA | MD | Clinical Social Worker |
| AC9296 | CA | MD | Acupuncturist |
| PT20648 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Santa Cruz, CA
- NPI 1588775308
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.