Individual provider Active NPI

Ronald Sumrall

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1801564729
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
138109 Issued in CA
Practice address
1029 2ND St Apt 208
Santa Monica, CA 90403-3622
Phone
(214) 620-0323
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14280971-3501 UT
Clinical Social Worker 1041C0700X SWI.LW.70122466 WA
Clinical Social Worker 1041C0700X 119740 TX
Clinical Social Worker 1041C0700X L18532 OR
Clinical Social Worker 1041C0700X 138109 CA Primary

Addresses

Primary practice location

1029 2ND St Apt 208
Santa Monica, CA 90403-3622

Mailing address

1029 2ND St Apt 208
Santa Monica, CA 90403-3622
Phone (214) 620-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260620000289 CA Practitioner - Clinical Social Worker 8527531649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15260 Ventura Blvd
Suite 1200
Sherman Oaks, CA 91403-5306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 2

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1801564729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 2ND ST APT 208",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033622",
            "telephone_number": "214-620-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 2ND ST APT 208",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033622",
            "telephone_number": "214-620-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "RONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14280971-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWI.LW.70122466",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "119740",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L18532",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "138109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.