Organization Active NPI

Summus Health Clinic, Inc.

  • Health Maintenance Organization
  • San Jose, CA
National Provider Identifier
1881007060
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
AC 14456 Issued in CA
Legal business name
SUMMUS HEALTH CLINIC, INC.
Practice address
1340 S de Anza Blvd Ste 104
San Jose, CA 95129-4644
Phone
(408) 634-3877
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Ta-Tung Lin
Title
President
Phone
(408) 634-3877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X AC 14456 CA Primary

Addresses

Primary practice location

1340 S de Anza Blvd Ste 104
San Jose, CA 95129-4644

Mailing address

1340 S de Anza Blvd Ste 104
San Jose, CA 95129-4644
Phone (408) 634-3877

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1881007060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S DE ANZA BLVD STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294644",
            "telephone_number": "408-634-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S DE ANZA BLVD STE 104",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294644",
            "telephone_number": "408-634-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMUS HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "TA-TUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-634-3877"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "AC 14456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.