CRISTAL ANN SUMERLIN (NPI# 1932796869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932796869 |
Entity Type | Individual |
Full Name | CRISTAL ANN SUMERLIN |
Other Name | CRISTAL ANN MURPHY (Former Name) |
Gender | Female |
Credential | PA-C |
Practice Address | 10245 Holder Way San Diego CA 92124-2511 |
Practice Telephone | 9282424215 |
Mailing Address | 10245 Holder Way San Diego CA 92124-2511 |
Certification Date | 2020-12-27 |
Enumeration Date | 2020-12-27 |
Last Update Date | 2020-12-27 |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 363AM0700X | Physician Assistant Specialization: Medical | Physician Assistants & Advanced Practice Nursing Providers |
Street Address | 10245 HOLDER WAY |
City | SAN DIEGO |
State | CA |
Zip Code | 92124-2511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649728015 | Stephanie Marie Evan | Registered Nurse | 10246 Holder Way, San Diego, CA 92124-2511 | 2016-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780150334 | Paullette Michelle Rosette | Marriage & Family Therapist | 5421 Escarchosa Lane, San Diego, CA 92124 | 2018-10-22 |
1699253179 | Laura Lychelle Kime | Behavior Analyst | 4256 Tambor Ct, San Diego, CA 92124 | 2018-08-06 |
1720506850 | Jonathan Jacobs | Military Health Care Provider · Independent Duty Corpsman | 3064 Taussig St, San Diego, CA 92124 | 2017-09-08 |
1346552064 | Jeffrey Thomas Gilbert | Military Health Care Provider · Independent Duty Medical Technicians | 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 | 2010-07-10 |
1023334158 | Billy L Fuson Jr. | Military Health Care Provider · Independent Duty Corpsman | 6656 Antigua Blvd, San Diego, CA 92124 | 2010-04-14 |
1386866473 | Ephraim J. Tabornal, Dds, Inc. | Dentist | 10850 Baroque Lane, Suite C, San Diego, CA 92124 | 2007-05-02 |
1538255245 | Lisa Anne Hazlewood-Hunt | Psychologist | 11770 Bernardo Plaza Ct. Suite 260, San Diego, CA 92124 | 2006-10-04 |
1740393586 | Brian L Mcdonald | Physical Therapist | 5950 Santo Road, Suite D, San Diego, CA 92124 | 2006-08-16 |
1003820614 | Eileen Louise Holman | Social Worker · Clinical | 6586 Ambrosia Drive, #5204, San Diego, CA 92124 | 2006-07-28 |
1063738920 | Amanda Baker Grau · Amanda Nicole Baker | Dentist | 10715 Tierrasanta Blvd, San Diego, CA 92124 | 2010-04-15 |
Find all providers in zip 92124 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962966309 | Tashina Jessica Kraintz | 10431 Caminito Alvarez, San Diego, CA 92126-5838 | 2019-01-30 | |
1801314042 | Erika Dimitra Couris | 3969 Fourth Ave, #301, San Diego, CA 92103-9210 | 2017-09-08 | |
1871859421 | Lisa Nakhleh Boyd · Lisa Nakhleh | 2999 Health Center Drive, San Diego, CA 92123 | 2012-04-09 | |
1760759104 | Brandon William Schroth | 357051 Nasni, Commander Naval Air Forces, San Diego, CA 92135-7051 | 2011-11-30 | |
1891080750 | Jennifer K Nguyen | 1466 Mariposa Street, San Diego, CA 92114-3612 | 2011-06-17 | |
1942510698 | Laurie Anne Reeves | 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 | 2010-10-15 | |
1568783108 | Monica Gable | 2929 Health Center Dr., San Diego, CA 92123-7741 | 2010-06-17 | |
1932422698 | Debbie Lo Flores | 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 | 2010-03-10 | |
1801125034 | Lindsey R Hayes | Quentin Roosevelt Blvd, Building 8, San Diego, CA 92135-7051 | 2009-12-17 | |
1962735720 | Elisa Vera | 3636 Nobel Dr Ste 401, San Diego, CA 92122-1042 | 2009-09-11 | |
Find all providers in SAN DIEGO |
City | SAN DIEGO |
Zip Code | 92124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245743780 | Cristal N Gricar · Cristal N Kawi | Physical Therapist | 1733 N Richmond Rd, Mchenry, IL 60051-5413 | 2017-11-07 |
1417408782 | Cristal Elliot · Cristal Morales-Perez | Specialist/Technologist, Other · Surgical Assistant | 1303 Capital Ave, Suite C, Plano, TX 75074-8500 | 2016-10-20 |
1134555402 | Cristal L Pollak · Cristal L Smith | Nurse Practitioner · Family | 6420 Dutchmans Pkwy, Suite 200, Louisville, KY 40205-3372 | 2013-09-18 |
1053494492 | Cristal Lee Gates · Cristal Lee Fetta | Pharmacist | 5300 East Ave, West Palm Beach, FL 33407-2387 | 2006-10-21 |
1144838103 | Cristal Marie Totterman · Cristal Marie Randall | Pharmacist | 3754 Se Ocean Blvd Ste B, Stuart, FL 34996-6700 | 2020-07-16 |
1134374747 | Cristal Rose Jenkins · Cristal Rose German | Counselor · Mental Health | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2008-11-24 |
1831600048 | Cristal Joy Ramos · Cristal Joy Ramos Hong | Nurse Practitioner · Family | 170 S. Green Valley Pwky, Ste 300, Henderson, NV 89012-3145 | 2017-10-14 |
1669800629 | Cristal Elizabeth Weeks · Cristal Elizabeth Elwood | Psychologist | 2054 Dauphin St, Mobile, AL 36606 | 2013-10-29 |
1487202925 | Cristal De La Torre · Cristal De La Torre | Student in an Organized Health Care Education/Training Program | 12015 Armsdale Ave, Whittier, CA 90604-3102 | 2019-08-28 |
1417409244 | Elidita Cristal Luna Aparicio · Elidita Cristal Luna | Rehabilitation Practitioner | 1501 Hughes Way, Suite 150, Long Beach, CA 90810-1876 | 2016-10-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.