NPIMap

Organization Active NPI

Synergy Specialists Medical Group

  • Specialist
  • San Diego, CA
National Provider Identifier
1043699804
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SYNERGY SPECIALISTS MEDICAL GROUP
Practice address
3444 Kearny Villa Rd Ste 401
San Diego, CA 92123-1964
Phone
(619) 421-3400
Fax
(619) 421-3557
NPI assigned
May 27, 2015
Organization subpart
Yes
Parent organization
SYNERGY SPECIALISTS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Dr. Tal S David, MD
Title
President
Phone
(858) 571-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3444 Kearny Villa Rd Ste 401
San Diego, CA 92123-1964

Mailing address

4445 Eastgate Mall
Suite 105
San Diego, CA 92121-1979
Phone (858) 412-6080

National Provider Directory

National Provider Directory
Tax ID family
Synergy Orthopedic Specialists Inc23 organizations share this tax ID, including this one
Part of
Synergy Orthopedic Specialists Inc

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

3444 Kearny Villa Rd
Ste 401
San Diego, CA 92123
Phone (619) 421-3400

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1043699804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "858-412-6080",
            "fax_number": "858-412-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 KEARNY VILLA RD STE 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231964",
            "telephone_number": "619-421-3400",
            "fax_number": "619-421-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SPECIALISTS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGY SPECIALISTS MEDICAL GROUP",
        "enumeration_date": "2015-05-27",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "TAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-571-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.