Elena Rina Summerlin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA20130 Issued in CA

Practice address

4765 Carmel Mountain Rd Ste 102
San Diego, CA 92130-6657

Phone

(858) 259-0553

Fax

(858) 259-0518

NPI assigned

May 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Seven Star Hospital Associates Inc.

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140
  Medicare reassignment NPD
• Aisthetikos, Inc

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1295965440
  Medicare reassignment
• Apex Emergency Medical Group, Inc.

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1265711089
  Medicare reassignment
• Riverside Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Riverside, CA
  • NPI 1972539039
  Medicare reassignment
• Las Palmas Medical Group

  • General Practice Physician
  • Escondido, CA
  • NPI 1770663551
  NPD (past)
• Penasquitos Pointe Medical Group

  • General Practice Physician
  • San Diego, CA
  • NPI 1821267212
  NPD (past)

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1740414838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28585 DAWN LN",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969529",
            "telephone_number": "951-973-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 CARMEL MOUNTAIN RD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306657",
            "telephone_number": "858-259-0553",
            "fax_number": "858-259-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERLIN",
        "first_name": "ELENA",
        "middle_name": "RINA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny C Sumbillo, RD
• Ann M Sumida-Johnson, M.A..
• Jennifer Kaye Summerfield
• Carol Gomez Summerhays, D.D.S
• Summerlin Care
• Courtney Summers-Day, MD
• April Summers
• Matthew Thomas Summers, ATC
• Michael Craig Summers, BCBA
• Raymond Harper Summers II, MD

• Medical Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.