Provider Demographics
NPI:1669548640
Name:SUMMA, CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SUMMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3035 N. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073-2204
Mailing Address - Country:US
Mailing Address - Phone:831-688-8680
Mailing Address - Fax:831-661-0136
Practice Address - Street 1:3035 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:SOQUEL
Practice Address - State:CA
Practice Address - Zip Code:95073-2204
Practice Address - Country:US
Practice Address - Phone:831-688-8680
Practice Address - Fax:831-661-0136
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72826207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A72826Medicare ID - Type Unspecified
CAG92891Medicare UPIN