Elliot Taketo Sumi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G78014 Issued in CA

Practice address

3440 Lomita Blvd
Suite 144
Torrance, CA 90505-4801

Phone

(310) 326-3396

Fax

(310) 326-8466

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Bay Nikkei Pediatric Medical Group

  • Pediatrics Physician
  • Torrance, CA
  • NPI 1083825145
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1780740746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "SUITE 144",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-326-3396",
            "fax_number": "310-326-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "SUITE 144",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-326-3396",
            "fax_number": "310-326-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMI",
        "first_name": "ELLIOT",
        "middle_name": "TAKETO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G78014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard R Sullivan, MD
• Gina L Sulmeyer, MD
• Manaal Sultan
• Mona Sultan, MD
• Mahdi M Sultany, RN
• Danielle Emi-Lani Sumida, LCSW
• Paul Morihiko Sumida, OD
• Summerwind Hospice, Inc.
• Summerwind Manor Inc
• Summit Health Spa (Summit Medical Spa)

• Pediatrics Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.