NPIMap

Organization Active NPI

Synergy Orthopedic Specialists, Inc.

  • Specialist
  • San Diego, CA
National Provider Identifier
1114282779
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SYNERGY ORTHOPEDIC SPECIALISTS, INC.
Practice address
9095 Rio San Diego Dr Ste 450
San Diego, CA 92108-1726
Phone
(858) 412-6080
NPI assigned
Jul 10, 2012
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Meghan Thomas
Title
Credentialing
Phone
(858) 412-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

9095 Rio San Diego Dr Ste 450
San Diego, CA 92108-1726

Mailing address

9095 Rio San Diego Dr Ste 410
San Diego, CA 92108-1679
Phone (858) 412-6080

Other names 1

  • Synergy Orthopedic Specialists Medical Group Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121018000776 CA Part B Supplier - Clinic/Group Practice 0941450498 Receives reassigned benefits from 96 practitioners
Practice locations: Chula Vista, CA; San Diego, CA; Temecula, CA; Palm Desert, CA; Coronado, CA; Encinitas, CA; La Jolla, CA; La Mesa, CA…

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

9834 Genesee Ave
Ste 370
La Jolla, CA 92037

655 Euclid Ave
Ste 301
National City, CA 91950
Phone (619) 267-3020

3444 Kearny Villa Rd
Ste 402
San Diego, CA 92123

3750 Convoy St
Ste 201B
San Diego, CA 92111
Phone (858) 302-2499

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

Subparts reporting this organization as parent 29

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 29

Practitioners & affiliated clinicians

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 107

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1114282779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 RIO SAN DIEGO DR STE 410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081679",
            "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": "9095 RIO SAN DIEGO DR STE 450",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081726",
            "telephone_number": "858-412-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY ORTHOPEDIC SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "858-412-6080"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Orthopedic Specialists Medical Group",
            "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 Oct 2, 2025; 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.