NPIMap

Organization Active NPI

Silver Summit Medical Corporation

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1891913612
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SILVER SUMMIT MEDICAL CORPORATION
Practice address
1408 Commercial Way Ste B
Bakersfield, CA 93309-0428
Phone
(661) 327-4455
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Dulce Lomeli
Title
Executive Assistant
Phone
(661) 699-8829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1408 Commercial Way Ste B
Bakersfield, CA 93309-0428

Mailing address

PO Box 748792
Los Angeles, CA 90074-8792
Phone (661) 327-4455

Other practice location 1

5000 Commerce Drive, Suite 102
Bakersfield, CA 93309-0407
Phone (661) 553-0000

Other practice location 2

5020 Commerce Dr Ste C
Bakersfield, CA 93309-0631
Phone (661) 324-4100

Other practice location 3

5020 Commerce Dr Ste A
Bakersfield, CA 93309-0631
Phone (661) 324-4100

Other practice location 4

1408 Commercial Way Ste A
Bakersfield, CA 93309-0428
Phone (661) 727-0000

Other identifiers 1

IdentifierTypeStateIssuer
1891913612MedicaidCA

Other names 5

  • Digestive Disease Center Doing business as
  • Heart Vascular and Leg Center Doing business as
  • Summit Vascular Center Doing business as
  • TRUXTUN FOOT AND ANKLE SPECIALISTS Doing business as
  • Vascular and Leg Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040408001452 CA Part B Supplier - Clinic/Group Practice 6002800588 Receives reassigned benefits from 11 practitioners
3 other NPIs on this enrollment
Practice locations: Bakersfield, CA; Tehachapi, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5000 Commerce Dr
Ste 102
Bakersfield, CA 93309
Phone (661) 553-0000

5020 Commerce Dr
Ste C
Bakersfield, CA 93309

1902 B St
Bakersfield, CA 93301

1408 Commercial Way
Ste E
Los Angeles, CA 90074

1408 Commercial Way
Ste C
Los Angeles, CA 90074

810 W Maple St
Farmington, NM 87401
Phone (505) 609-6013

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1891913612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748792",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900748792",
            "telephone_number": "661-327-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 COMMERCIAL WAY STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090428",
            "telephone_number": "661-327-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Commerce Drive, Suite 102",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090407",
            "country_code": "US",
            "telephone_number": "661-553-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Commerce Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090631",
            "country_code": "US",
            "telephone_number": "661-324-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Commerce Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090631",
            "country_code": "US",
            "telephone_number": "661-324-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1408 Commercial Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090428",
            "country_code": "US",
            "telephone_number": "661-727-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILVER SUMMIT MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "LOMELI",
        "authorized_official_first_name": "DULCE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "661-699-8829"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891913612",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Disease Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Digestive Disease Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart Vascular and Leg Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRUXTUN FOOT AND ANKLE SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vascular and Leg Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.