SYNERGY SPECIALISTS MEDICAL GROUP (NPI# 1679952337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679952337 |
| Entity Type | Organization |
| Organization Name | SYNERGY SPECIALISTS MEDICAL GROUP |
| Other Organization Name | SYNERGY ORTHOPEDIC SPECIALISTS MEDICAL GROUP |
| Practice Address |
9834 Genesee Ave Ste 228 La Jolla CA 92037-1215 |
| Mailing Address |
4445 Easgate Mall Suite 105 San Diego CA 92121-1979 |
| Practice Telephone | 8584559942 |
| Practice Fax Number | 8584556473 |
| Mailing Telephone | 8584126080 |
| Mailing Fax Number | 8584126376 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | DR. TAL S DAVID (PRESIDENT) |
| Authorized Official Telephone | 8585719500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SYNERGY SPECIALISTS MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Synergy Orthopedic Specialists Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043699804 | Synergy Specialists Medical Group | Specialist | 3444 Kearny Villa Rd Ste 401, San Diego, CA 92123-1964 | 2015-05-27 |
| 1598144354 | Synergy Specialists Medical Group | Specialist | 3444 Kearny Villa Rd, Suite 401, San Diego, CA 92123-1959 | 2015-05-27 |
| 1952780710 | Synergy Specialists Medical Group | Specialist | 4910 Directors Pl, Suite 350, San Diego, CA 92121-3811 | 2015-05-27 |
| 1679952485 | Synergy Specialists Medical Group | Specialist | 955 Lane Ave, Suite 200, Chula Vista, CA 91914-4525 | 2015-05-26 |
| 1699154401 | Synergy Specialists Medical Group | Specialist | 7910 Frost St, Suite 340, San Diego, CA 92123-2771 | 2015-05-26 |
| 1255710067 | Synergy Specialists Medical Group | Specialist | 230 Prospect Pl, Suite 230, Coronado, CA 92118-1978 | 2015-05-26 |
| 1578942447 | Synergy Specialists Medical Group | Specialist | 9339 Genesee Ave, Suite 150, San Diego, CA 92121-2119 | 2015-05-26 |
| 1114282779 | Synergy Specialists Medical Group | Specialist | 9834 Genesee Ave Ste 228, La Jolla, CA 92037-1215 | 2012-07-10 |
| Street Address |
9834 GENESEE AVE STE 228 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215165618 | Gene Charles Roland | Orthopaedic Surgery | 9834 Genesee Ave Ste 228, La Jolla, CA 92037-1215 | 2009-06-24 |
| 1114282779 | Synergy Specialists Medical Group | Specialist | 9834 Genesee Ave Ste 228, La Jolla, CA 92037-1215 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255860136 | Ximed Wound Care Clinic, Inc. | Specialist | 9850 Genesee Ave Ste 360, La Jolla, CA 92037-1212 | 2017-06-05 |
| 1851747604 | Lily Janet Kotila | Specialist | 7752 Fay Ave Ste B, La Jolla, CA 92037-4328 | 2016-05-11 |
| 1114335403 | Duncan T Mitchell | Specialist | 8261 La Jolla Scenic Dr N, La Jolla, CA 92037-2218 | 2014-07-30 |
| 1033546916 | Reproductive Partners Medical Group La Jolla, Inc | Specialist | 9850 Genesee Ave Ste 800, La Jolla, CA 92037-1219 | 2013-10-08 |
| 1740522309 | Hsien-lin Huang | Specialist | 9868 Black Gold Rd, La Jolla, CA 92037-1116 | 2013-03-21 |
| 1568711406 | John State Rusin | Specialist | 1241 Prospect St, Apartment 5, La Jolla, CA 92037-0000 | 2012-09-06 |
| 1689934168 | Kenneth John Blunt | Specialist | 5942 Avenida Chamnez, La Jolla, CA 92037-7402 | 2012-05-18 |
| 1417237751 | Francis Joseph Pedace | Specialist | 7030 Neptune Pl, La Jolla, CA 92037-5328 | 2011-08-18 |
| 1457639155 | Robert Aschenbrenner | Specialist | 711 Kline St Unit B, La Jolla, CA 92037-4451 | 2011-07-28 |
| 1093008583 | Duc Minh Ha | Specialist | 9300 Campus Point Dr # 7381, La Jolla, CA 92037-1300 | 2011-05-17 |
| Find all providers in LA JOLLA | ||||
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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.