Healthcare Provider Details

I. General information

NPI: 1013774520
Provider Name (Legal Business Name): SILVER SUMMIT MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 COMMERCE DRIVE
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

548 MARKET ST UNIT 5020
SAN FRANCISCO CA
94104-5401
US

V. Phone/Fax

Practice location:
  • Phone: 661-631-4312
  • Fax: 661-377-2892
Mailing address:
  • Phone: 661-377-2820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RAMESH C GUPTA
Title or Position: PRESIDENT
Credential: MD
Phone: 661-631-4312