Active NPI
Nexx Gen Laboratories
- Clinical Medical Laboratory
- San Diego, CA
National Provider Identifier
1033880224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2216352 | Nexx Gen Laboratories | Compliance | Aug 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.