Organization Active NPI

Summit Medical Group

  • Urgent Care Clinic/Center
  • Palmdale, CA
National Provider Identifier
1972918977
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
FNP 41896 Issued in CA
Legal business name
SUMMIT MEDICAL GROUP
Doing business as
Summit Urgent Care
Practice address
38660 Medical Center Dr
Space A130
Palmdale, CA 93551-4385
Phone
(661) 273-7100
NPI assigned
Jun 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Ms. Beata Sherman, FNP-BC
Title
Nurse Practitioner
Phone
(661) 273-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X FNP 41896 CA Primary

Addresses

Primary practice location

38660 Medical Center Dr
Space A130
Palmdale, CA 93551-4385

Mailing address

38660 Medical Center Dr
Space A130
Palmdale, CA 93551-4385
Phone (661) 273-7100

Other names 1

  • Summit Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Antelope Valley Summit Med3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

38660 Medical Center Dr
Spc A130
Palmdale, CA 93551
Phone (661) 273-7100

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1972918977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38660 MEDICAL CENTER DR",
            "address_2": "SPACE A130",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514385",
            "telephone_number": "661-273-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38660 MEDICAL CENTER DR",
            "address_2": "SPACE A130",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514385",
            "telephone_number": "661-273-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "BEATA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "661-273-7100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "FNP 41896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.