SUMMER BLOOM RUNESTAD (NPI# 1376019919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376019919 |
| Entity Type | Individual |
| Full Name | SUMMER BLOOM RUNESTAD |
| Credential | ATC |
| Practice Address |
403 W Adams Blvd Los Angeles CA 90007-2664 |
| Practice Telephone | 2139103526 |
| Practice Fax Number | 2137418324 |
| Mailing Telephone | 2139103526 |
| Mailing Fax Number | 2137418324 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
120502018 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
403 W ADAMS BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831171602 | Orthopaedic Rehabilitation Specialists Inc | Occupational Therapist | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2005-11-17 |
| 1851900856 | Enda Kelly | Student in an Organized Health Care Education/Training Program | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2020-07-26 |
| 1902454051 | Alexandra Nicole Santellano-bartsch | Orthopaedic Surgery | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2019-09-02 |
| 1063069730 | Mirna Aracely Guzman | Physical Therapy Assistant | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2019-08-19 |
| 1578125035 | Help Them Smile | Voluntary or Charitable | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2019-07-05 |
| 1770090227 | Kathryn Williams | Nurse Practitioner | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2018-01-05 |
| 1326581208 | Jessica Mofidi | Pediatrics | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2016-11-28 |
| 1326402884 | Orthopaedic Institute for Children Ambulatory Surgery Center, LLC | Clinic/Center | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2016-04-11 |
| 1396110425 | Christine Caron | Physical Therapist | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2015-12-01 |
| 1548659170 | Libby Wilson Md Inc | Surgery | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2015-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| 1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
| Find all providers in zip 90007 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629612403 | Rosalinda Sanchez | Specialist/Technologist | 2795 W 8th St Apt 108, Los Angeles, CA 90005-1200 | 2019-11-04 |
| 1497223184 | Rafael Antonio Alvarado | Specialist/Technologist | 1246 Sanborn Ave, Los Angeles, CA 90029-2240 | 2018-11-11 |
| 1598254096 | Oscar F Avila | Specialist/Technologist | 345 S Alexandria Ave Apt 216, Los Angeles, CA 90020-2670 | 2018-05-09 |
| 1659869097 | Alec Carmona | Specialist/Technologist | 4618 Townsend Ave, Los Angeles, CA 90041-2861 | 2018-04-30 |
| 1568964369 | Tracy Elizabeth Ayers | Specialist/Technologist | 11435 Venice Blvd, Los Angeles, CA 90066-4028 | 2018-03-07 |
| 1346742947 | Oscar Rinon Jr. | Specialist/Technologist | 2131 John Wooden Center, Los Angeles, CA 90095 | 2018-02-28 |
| 1477053957 | Michael Steven Rivera | Specialist/Technologist | 2642 James M Wood Blvd, Los Angeles, CA 90006-1706 | 2018-02-20 |
| 1801303110 | Alexander Calderon | Specialist/Technologist | 700 North Faring Road, Los Angeles, CA 90077-3525 | 2018-01-08 |
| 1265958847 | Matthew Lee | Specialist/Technologist | 950 Blaine St, Los Angeles, CA 90015-1220 | 2017-08-16 |
| 1023530037 | Smadar Bezalel | Specialist/Technologist | 15800 Zeldins Way, Los Angeles, CA 90049-6861 | 2017-07-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
Please comment or provide details below to improve the information on SUMMER BLOOM RUNESTAD.
| 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.