Organization Active NPI

Symba Center

  • Clinic/Center
  • Victorville, CA
National Provider Identifier
1083362297
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SYMBA CENTER
Practice address
16902 1St St
Victorville, CA 92395-3111
Phone
(442) 372-7068
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Shawn Robert SmithNPI 1184269482
Title
Ceo
Phone
(442) 372-7068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

16902 1St St
Victorville, CA 92395-3111

Mailing address

16519 Victor St Ste 424
Victorville, CA 92395-3935
Phone (442) 372-7068

Other practice location 1

17133 Valley Blvd
Fontana, CA 92335-6811
Phone (442) 372-7068

Other practice location 2

1522 W Mission Blvd
Ontario, CA 91762-4730
Phone (442) 372-7068

Other practice location 3

18422 Bear Valley Rd Bldg 44
Victorville, CA 92395-5850
Phone (442) 372-7068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423003304 CA Part B Supplier - Clinic/Group Practice 3375982317 Receives reassigned benefits from 2 practitioners
Practice locations: Victorville, CA

National Provider Directory

National Provider Directory
Tax ID family
Symba Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

20601 US Highway 18
Ste 171
Apple Valley, CA 92307

17133 Valley Blvd
Fontana, CA 92335
Phone (442) 372-7068

16902 1st St
Bldg 1100
Victorville, CA 92395
Phone (760) 515-2464

16902 1st St
Victorville, CA 92395
Phone (760) 515-2464

18422 Bear Valley Rd
Bldg 44
Victorville, CA 92395
Phone (442) 372-7068

16519 Victor St
Ste 424
Victorville, CA 92395
Phone (442) 325-9066

14049 Amargosa Rd
Victorville, CA 92392
Phone (760) 515-2464

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": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1083362297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16519 VICTOR ST STE 424",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953935",
            "telephone_number": "442-372-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16902 1ST ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953111",
            "telephone_number": "442-372-7068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17133 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923356811",
            "country_code": "US",
            "telephone_number": "442-372-7068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1522 W Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917624730",
            "country_code": "US",
            "telephone_number": "442-372-7068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18422 Bear Valley Rd Bldg 44",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923955850",
            "country_code": "US",
            "telephone_number": "442-372-7068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYMBA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "442-372-7068"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.