Organization Active NPI

Nexx Gen Laboratories

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1033880224
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEXX GEN LABORATORIES
Practice address
3703 Camino del Rio S Ste 210
San Diego, CA 92108-4033
Phone
(206) 999-8383
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Todd Bunger-Mansor
Title
Ceo
Phone
(206) 999-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3703 Camino del Rio S Ste 210
San Diego, CA 92108-4033

Mailing address

3703 Camino del Rio S Ste 210
San Diego, CA 92108-4033
Phone (206) 999-8383

Other names 1

  • Calbiotech Reference Laboratories LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211115001808 CA Part B Supplier - Independent Clinical Laboratory 1153710025 Practice locations: El Cajon, CA
O20240925001613 CA Part B Supplier - Independent Clinical Laboratory 2062953409 Practice locations: Spring Valley, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2216352Nexx Gen Laboratories3703 Camino del Rio S Ste 210, San Diego, CA 92108ComplianceAug 19, 2026

National Provider Directory

National Provider Directory

Locations

1935 Cordell Ct
El Cajon, CA 92020
Phone (619) 660-6162

10461 Austin Dr
Spring Valley, CA 91978
Phone (619) 660-6162

10461 Austin Dr
Ste G
Spring Valley, CA 91978
Phone (619) 357-7974

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1033880224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 CAMINO DEL RIO S STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084033",
            "telephone_number": "206-999-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 CAMINO DEL RIO S STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084033",
            "telephone_number": "206-999-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXX GEN LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "BUNGER-MANSOR",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-999-8383"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calbiotech Reference Laboratories LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.