Healthcare Provider Details

I. General information

NPI: 1932796869
Provider Name (Legal Business Name): CRISTAL ANN SUMERLIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTAL ANN MURPHY

II. Dates (important events)

Enumeration Date: 12/27/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27994 BRADLEY RD
MENIFEE CA
92586-2240
US

IV. Provider business mailing address

27994 BRADLEY RD
MENIFEE CA
92586-2240
US

V. Phone/Fax

Practice location:
  • Phone: 951-679-6467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: