Elmer Reymond Symonett, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A050238 Issued in CA

Practice address

1035 S Mount Vernon Ave Ste F
Colton, CA 92324-4210

Phone

(909) 824-1060

Fax

(909) 824-0501

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Affirm Home Health Home health agency, Burbank, CA, CCN 559462
• Lifepro Home Health Care, Inc Home health agency, Glendale, CA, CCN 757082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Symonett Family Medical Center Inc

  • Primary Care Clinic/Center
  • Colton, CA
  • NPI 1255692372
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lifepro Home Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1831799204
  Care Compare affiliation

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1144317579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S MOUNT VERNON AVE STE F",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244210",
            "telephone_number": "909-824-1060",
            "fax_number": "909-824-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S MOUNT VERNON AVE STE F",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244210",
            "telephone_number": "909-824-1060",
            "fax_number": "909-824-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMONETT",
        "first_name": "ELMER",
        "middle_name": "REYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A050238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336924",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A502380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Adele Swafford, DPT
• Timothy Douglas Swartz, MPT
• Jennifer Shannon Swingle, D.O.
• Momina Syed
• Symonett Family Medical Center Inc
• Sarah Christine Szatmari
• William Szymanski
• Daim Anwer Tabba, MD
• Christian Alexander Tagle, DO
• Sharon Taguba

• Specialist in Colton, CA
• Providers in Colton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.