Synthesis Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SYNTHESIS RECOVERY LLC

Practice address

5498 Blackoak Way
San Jose, CA 95129-3110

Phone

(833) 338-1373

NPI assigned

May 4, 2019

Organization subpart

No

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

Authorized official

Name

Sergei Vidov

Title

Ceo

Phone

(310) 498-3626

Specialties & licenses 1

Addresses

Other names 3

• Summit Peninsula Doing business as
• Summit on Peninsula Doing business as
• Summit on the Peninsula Doing business as

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1174188239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 KIRSTEN LEE DR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615564",
            "telephone_number": "310-498-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5498 BLACKOAK WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293110",
            "telephone_number": "833-338-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNTHESIS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-04",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "VIDOV",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-498-3626"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Peninsula",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit on Peninsula",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit on the Peninsula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Symcox, IMF
• Sympto Health
• Meng K Syn, DDS
• Syndicate Corp
• Synergic Therapy, Inc
• Laya Aboud Syriani
• Danielle Syrkin
• Milliardaire Syverain, M.D.
• Hin Wah Sze
• Cyrus C.L. Szeto-Wong, M.D.

• Substance Abuse Rehabilitation Facility in San Jose, CA
• Providers in San Jose, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.