SYNERGY SPECIALISTS MEDICAL GROUP (NPI# 1699154401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699154401 |
Entity Type | Organization |
Organization Name | SYNERGY SPECIALISTS MEDICAL GROUP |
Other Organization Name | SYNERGY ORTHOPEDIC SPECIALIST MEDICAL GROUP |
Practice Address |
7910 Frost St Suite 340 San Diego CA 92123-2771 |
Mailing Address |
4445 Eastgate Mall Suite 105 San Diego CA 92121-1979 |
Practice Telephone | 8582772448 |
Practice Fax Number | 8582772492 |
Mailing Telephone | 8584126080 |
Mailing Fax Number | 8584126376 |
Enumeration Date | 2015-05-26 |
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 Specialist 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 |
1679952337 | Synergy Specialists Medical Group | Specialist | 9834 Genesee Ave Ste 228, La Jolla, CA 92037-1215 | 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 |
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 |
7910 FROST ST SUITE 340 |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-2771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760487458 | Jadwiga M Alexiewicz | Internal Medicine | 7910 Frost St, Ste 220, San Diego, CA 92123-2771 | 2005-06-17 |
1023474442 | Diane Wintz Md Inc | Surgery | 7910 Frost St, Ste 450, San Diego, CA 92123-2771 | 2016-01-14 |
1104281088 | Carina Lee | Nurse Practitioner | 7910 Frost St, San Diego, CA 92123-2771 | 2015-12-21 |
1598132128 | Lisa Gwilliam | Nurse Practitioner | 7910 Frost St, Ste 200, San Diego, CA 92123-2771 | 2015-08-31 |
1386037976 | Theresa Lawson | Registered Nurse | 7910 Frost St, San Diego, CA 92123-2771 | 2015-03-06 |
1740605070 | Christine Colon | Genetic Counselor, MS | 7910 Frost St, Suite 430, San Diego, CA 92123-2771 | 2014-02-24 |
1154762003 | Christina Raquel Tolentino | Nurse Practitioner | 7910 Frost St, San Diego, CA 92123-2771 | 2013-07-08 |
1992149447 | Rebecca Recker Adami | Obstetrics & Gynecology | 7910 Frost St, San Diego, CA 92123-2771 | 2013-04-25 |
1821431321 | Joann B Pun | Nurse Practitioner | 7910 Frost St, Ste 335, San Diego, CA 92123-2771 | 2013-04-15 |
1891036448 | Michelle F Lopez | Nurse Practitioner | 7910 Frost St, San Diego, CA 92123-2771 | 2013-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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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 |
---|---|---|---|---|
1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
1023648201 | Pamela Renea Crane | Specialist | 3237 Meade Ave, San Diego, CA 92116-4519 | 2020-01-16 |
1184199853 | Oliver Rakeem Taylor | Specialist | 1265 Angelus Ave, San Diego, CA 92114-3108 | 2018-10-09 |
1376040923 | Mark Edmond Rierson | Specialist | 2333 1st Ave Ste 106, San Diego, CA 92101-1538 | 2018-04-10 |
1790232635 | Cristina Zheng-castruita | Specialist | 9308 Babauta Rd, Apt. 62, San Diego, CA 92129-4922 | 2016-09-08 |
1689027955 | Neelam Agashe | Specialist | 3445 Lebon Dr Apt 1215, San Diego, CA 92122-5267 | 2016-07-21 |
1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
1952765935 | Jacqueline Morgan | Specialist | 9625 Black Mountain Rd Ste 300, San Diego, CA 92126-4598 | 2016-04-06 |
1710341862 | Comprehensive Medical Reporting Services | Specialist | 9040 Friars Rd., Ste. 410, San Diego, CA 92108 | 2016-04-05 |
1790150555 | Mahmood Nazari | Specialist | 6209 Lake Apopka Pl, 6209 Lake Apopka Place, San Diego, CA 92119-3520 | 2015-12-04 |
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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.