Summit Estate Recovery Centers LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SUMMIT ESTATE RECOVERY CENTERS LLC

Doing business as

Fortitude Recovery IOP

Practice address

1001 Sneath LN Ste 204
San Bruno, CA 94066-2349

Phone

(800) 701-6997

Fax

(323) 576-5345

NPI assigned

Jul 21, 2025

Organization subpart

Yes

Parent organization

SUMMIT ESTATE RECOVERY CENTERS LLCAs reported in NPPES

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

Authorized official

Name

Elizabeth Hernandez

Title

Biller

Phone

(818) 983-9466

Specialties & licenses 1

Addresses

Other names 1

• Fortitude Recovery IOP Doing business as

Tax ID family

Summit Estate Recovery Centers LLC3 organizations share this tax ID, including this one

Part of

Summit Estate Recovery Centers LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Estate Recovery Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Palo Alto, CA
  • NPI 1679857775
  NPD tax ID
• Summit Estate Recovery Centers LLC

  • Substance Abuse Rehabilitation Facility
  • San Jose, CA
  • NPI 1750263810
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Summit Estate Recovery Centers LLC

  • Substance Abuse Rehabilitation Facility
  • Palo Alto, CA
  • NPI 1679857775
  NPPES parent name

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1790667848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 BLUE HILL DR STE 7",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293624",
            "telephone_number": "800-701-6997",
            "fax_number": "323-576-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SNEATH LN STE 204",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662349",
            "telephone_number": "800-701-6997",
            "fax_number": "323-576-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ESTATE RECOVERY CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT ESTATE RECOVERY CENTERS LLC",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "818-983-9466"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fortitude Recovery IOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nyssarae Sugioka
• Xiaotong Sui
• Natsasi Suktaworn
• Keith Edward Sullivan, DPT
• Brianna Summers
• Susan Sales Dental Corporation
• Sebastian Farel Sutjipto
• Adam C Swan
• Taylor Sweatt, M.S., BCBA
• Zyania Swenson

• Substance Abuse Rehabilitation Facility in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.