Organization
SILVER SUMMIT MEDICAL CORPORATION
Active
Organization
SILVER SUMMIT MEDICAL CORPORATION
Active
Other names
Heart Vascular and Leg Center
Organization subpart
No
Provider details
NPI number
Authorized official
DULCE LOMELI (EXECUTIVE ASSISTANT)
(661) 324-4100
Entity
Organization
Contact information
Practice address
5020 COMMERCE DR STE A, BAKERSFIELD, CA 93309-0631
(661) 324-4100
(661) 324-4600
Mailing address
PO BOX 748792, LOS ANGELES, CA 90074-8792
(661) 324-4100
(661) 324-4600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
CA
207RI0011X
Interventional Cardiology Physician
—
CA
207UN0901X
Nuclear Cardiology Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071830
—
CA
01
—
GR0071832
MEDI-CAL PROVIDER NUMBER
CA
01
—
ZZZ13353Z
MEDICARE PROVIDER NUMBER
CA
01
—
ZZZ15436Z
MEDICARE PROVIDER NUMBER
CA
01
—
ZZZ16171Z
MEDICARE PROVIDER NUMBER
CA
01
—
ZZZ20790Z
MEDICARE PROVIDER NUMBER
CA
Enumeration date
08/30/2006
Last updated
01/17/2025
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