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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