DR. JEREMY SCOTT SUMMERS (NPI# 1184049132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184049132 |
| Entity Type | Individual |
| Full Name | DR. JEREMY SCOTT SUMMERS |
| Credential | D.C. |
| Practice Address |
13160 Mindanao Way Suite 308 Marina Del Rey CA 90292-6358 |
| Practice Telephone | 3105740395 |
| Practice Fax Number | 3105740394 |
| Mailing Telephone | 3105740395 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
31569 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184199903 | Jeremy Summers | Counselor | 1266 14th St, Oakland, CA 94607-2205 | 2018-10-08 |
| Street Address |
13160 MINDANAO WAY SUITE 308 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742813 | Terry David Krekorian | Anesthesiology | 13160 Mindanao Way, Marina Del Rey, CA 90292-6358 | 2005-06-29 |
| 1760984033 | Providence Healthcare Inc | Orthopaedic Surgery | 13160 Mindanao Way, Marina Del Rey, CA 90292-6358 | 2018-03-02 |
| 1487102836 | Disc Physician Group | Surgery | 13160 Mindanao Way, Suite 170, Marina Del Rey, CA 90292-6358 | 2016-09-14 |
| 1215329370 | Holley Alexander Spears | Physician Assistant | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6393 | 2015-02-26 |
| 1851736615 | Melamed Spine LLC | Physician Assistant | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6358 | 2013-05-07 |
| 1073874863 | David Kaplowitz | Internal Medicine | 13160 Mindanao Way, Suite 252, Marina Del Rey, CA 90292-6358 | 2012-06-07 |
| 1134498777 | Lisa Anne Penny | Marriage & Family Therapist | 13160 Mindanao Way, #300, Marina Del Rey, CA 90292-6358 | 2011-12-28 |
| 1922307669 | Gary Brazina Md Inc. | Non-Pharmacy Dispensing Site | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6358 | 2011-03-21 |
| 1346548690 | Layla Nina Sotoodeh | Physician Assistant | 13160 Mindanao Way, Suite 300, Marina Del Rey, CA 90292-6358 | 2011-03-10 |
| 1417255316 | Frederic G Nicola, Md, A Professional Corporation | Orthopaedic Surgery | 13160 Mindanao Way, Ste 300, Marina Del Rey, CA 90292-6358 | 2011-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707199 | Pacific Integrative Medical Group Inc | Chiropractor | 2232 Santa Monica Blvd # 101, Santa Monica, CA 90404-2312 | 2020-07-22 |
| 1497394779 | Beavers Better Health Chiropractic, Inc. | Chiropractor | 5707 Marconi Ave Ste D, Carmichael, CA 95608-4471 | 2020-01-03 |
| 1932758679 | Johnnie C Morgan Iv | Chiropractor | 30423 Canwood St Ste 128, Agoura Hills, CA 91301-4314 | 2019-09-05 |
| 1386291920 | Ar'neka Montford | Chiropractor | 7109 Cardenas Way, Sacramento, CA 95828-3935 | 2019-08-19 |
| 1811459738 | Garrett Neill | Chiropractor | 4299 Macarthur Blvd Ste 102, Newport Beach, CA 92660-2019 | 2019-04-01 |
| 1952869661 | Pelofsky Sports Chiropractic | Chiropractor | 700 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3863 | 2019-03-12 |
| 1790252963 | Andrew Winthrop | Chiropractor | 400 Continental Blvd Ste 6070, El Segundo, CA 90245-5076 | 2018-10-25 |
| 1497233522 | Pure Sports Medical Corporation | Chiropractor | 4300 Tradewinds Dr Ste 300, Oxnard, CA 93035-1458 | 2018-07-31 |
| 1548751951 | Jeffrey Christopher Abreu | Chiropractor | 1451 66th St, Emeryville, CA 94608-1004 | 2018-05-21 |
| 1093206641 | Ulberg Healing Choices & Chiropractic, Inc | Chiropractor | 901 Greenwich Dr, Thousand Oaks, CA 91360-6022 | 2018-05-18 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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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.