DR. MARIETTA ABELLERA SUMAQUIAL (NPI# 1053480780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053480780 |
| Entity Type | Individual |
| Full Name | DR. MARIETTA ABELLERA SUMAQUIAL |
| Credential | M.D. |
| Practice Address |
2401 W Turner Rd Suite 450 Lodi CA 95242-2182 |
| Mailing Address |
Po Box 779 Stockton CA 95201-0779 |
| Practice Telephone | 2093701700 |
| Mailing Telephone | 2093732800 |
| Mailing Fax Number | 2093732873 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A38362 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2401 W TURNER RD SUITE 450 |
| City | LODI |
| State | CA |
| Zip Code | 95242-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801739 | Woodbridge Pharmacy | Pharmacy | 2401 W Turner Rd, Suite 290, Lodi, CA 95242-2182 | 2005-09-19 |
| 1003247644 | Sharen N Cheathon | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2013-12-09 |
| 1093050387 | Eliza R Downs | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2012-11-28 |
| 1710269246 | Emily L Watts | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2011-09-10 |
| 1114253101 | Rosemary Ann Brixie | Nurse Practitioner | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2009-10-26 |
| 1346409257 | Chris R. Swartwood | Physical Therapist | 2401 W Turner Rd, 250, Lodi, CA 95242-2182 | 2008-06-05 |
| 1801918743 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
| 1710009659 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
| 1194840652 | Tina S Watt | Chiropractor | 2401 W Turner Rd, #230, Lodi, CA 95242 | 2007-03-20 |
| 1104908847 | Shizu Jennifer Kawai | Nurse Practitioner | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417396235 | Rosemary Nunez-davis | Pediatrics | 1901 W Kettleman Ln Ste 200, Lodi, CA 95242-4337 | 2013-06-14 |
| 1952749301 | Nicholas Lerias | Pediatrics | 1511 S Mills Ave, 205w, Lodi, CA 95242-4241 | 2013-06-07 |
| 1497876262 | Nancy Hoff | Pediatrics | 755 S Fairmont Ave, A2, Lodi, CA 95240-4643 | 2007-04-02 |
| 1205839735 | Roy Anunciacion | Pediatrics | 1920 Tienda Dr, Ste 102, Lodi, CA 95242-3930 | 2005-05-30 |
| 1114389137 | Lancy Lu | Pediatrics | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2016-03-29 |
| 1760861801 | Moina Tahnee Snyder | Pediatrics | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2015-05-21 |
| 1457759102 | Emily Daniel | Pediatrics | 975 S Fairmont Ave, Lodi, CA 95240-5179 | 2014-12-11 |
| 1992919823 | Regina Fung Guen Wong | Pediatrics | 2415 W Vine St, Suite 105, Lodi, CA 95242-3731 | 2007-05-10 |
| 1063587616 | Arvinder Kaur Thiara | Pediatrics | 1300 W Lodi Ave, Suite P, Lodi, CA 95242-3000 | 2006-11-21 |
| 1649350737 | Kirsten M Culler | Pediatrics | 2415 W Vine St, Suite 100, Lodi, CA 95242-3731 | 2006-10-16 |
| Find all providers in LODI | ||||
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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.