NPIMap

Organization Active NPI

Synergy Orthopedic Specialists, Inc.

  • Specialist
  • Temecula, CA
National Provider Identifier
1194447888
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SYNERGY ORTHOPEDIC SPECIALISTS, INC.
Practice address
27250 Via Industria Ste a
Temecula, CA 92590-3751
Phone
(858) 616-6400
NPI assigned
Sep 19, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SYNERGY ORTHOPEDIC SPECIALISTS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Tal DavidNPI 1629092473
Title
President
Phone
(858) 412-6080

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
Specialist 174400000X NU Primary

Addresses

Primary practice location

27250 Via Industria Ste a
Temecula, CA 92590-3751

Mailing address

4445 Eastgate Mall Ste 105
San Diego, CA 92121-1979
Phone (185) 877-5926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250429000316 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0941450498 Practice locations: Temecula, 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
Part of
Synergy Orthopedic Specialists Inc

Locations

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

285 N El Camino Real
Ste 105
Encinitas, CA 92024
Phone (760) 582-2570

9850 Genesee Ave
Ste 370
La Jolla, CA 92037
Phone (858) 362-0616

230 Prospect Pl
Ste 230
San Diego, CA 92118
Phone (619) 435-7282

2999 Health Center Dr
San Diego, CA 92123
Phone (858) 939-4480

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

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

7220 Trade St
Ste 190
San Diego, CA 92121
Phone (858) 450-7118

9095 Rio San Diego Dr
Ste 100
San Diego, CA 92108
Phone (619) 819-4524

9095 Rio San Diego Dr
Ste 450
San Diego, CA 92108
Phone (619) 853-8860

27250 Via Industria
#A
Temecula, CA 92590
Phone (858) 616-6400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 96

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 96

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1194447888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 EASTGATE MALL STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "185-877-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27250 VIA INDUSTRIA STE A",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903751",
            "telephone_number": "858-616-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY ORTHOPEDIC SPECIALISTS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGY ORTHOPEDIC SPECIALISTS, INC.",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "TAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-412-6080"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.