DR. JERRINE SUSAN SUMMER (NPI# 1649486572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649486572 |
| Entity Type | Individual |
| Full Name | DR. JERRINE SUSAN SUMMER |
| Credential | DDS |
| Practice Address |
1411 W 7th St Suite C San Pedro CA 90732-3522 |
| Practice Telephone | 3108314516 |
| Practice Fax Number | 3108310010 |
| Mailing Telephone | 3108314516 |
| Mailing Fax Number | 3108310010 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 37932 | CA | Dental Providers |
| Street Address |
1411 W 7TH ST SUITE C |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710272869 | Jack Neelan Burns Jr. | Chiropractor | 1411 W 7th St, Suite A, San Pedro, CA 90732-3522 | 2011-06-16 |
| 1821033689 | Diane Catherine Sizgorich | Dentist | 1411 W 7th St, Suite C, San Pedro, CA 90732-3522 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1578964094 | Aleksandar Vukotic | Dentist | 728 W 16th St, #b, San Pedro, CA 90731-4615 | 2014-09-16 |
| 1881931624 | Arthur Marshall | Dentist | 2515 S Western Ave Ste 109, San Pedro, CA 90732-4643 | 2013-01-14 |
| 1306123369 | Brigida Momand Abdelnaby | Dentist | 1441 W 8th St, San Pedro, CA 90732-3803 | 2011-11-04 |
| 1891940722 | Nicholas S. Jaksic, Dds, Inc. | Dentist | 1360 W 6th St Ste 285, San Pedro, CA 90732-3558 | 2008-11-19 |
| 1639340425 | Branislav Madzarevic | Dentist | 312 N Gaffey St Ste 201, San Pedro, CA 90731 | 2008-03-19 |
| 1699950469 | John Michael Tomich | Dentist | 783 W 9th St, San Pedro, CA 90731 | 2007-12-29 |
| 1912190992 | Giti Massoudian | Dentist | 1411 W 8th St, San Pedro, CA 90732-3803 | 2007-08-22 |
| 1306046990 | Coeli Tuvera | Dentist | 312 N Gaffey St, Suite 201, San Pedro, CA 90731-1955 | 2007-07-20 |
| Find all providers in SAN PEDRO | ||||
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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.