NPIMap

Organization Active NPI

Symbio Sport

  • Clinic/Center
  • Dana Point, CA
National Provider Identifier
1306257225
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
28908 Issued in CA
Legal business name
SYMBIO SPORT
Practice address
33601 Rising Tide CT
Dana Point, CA 92629-1924
Phone
(858) 220-1446
NPI assigned
May 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Ryan Parsons, D.CNPI 1295176386
Title
Ceo
Phone
(858) 220-1446

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 28908 CA Primary

Addresses

Primary practice location

33601 Rising Tide CT
Dana Point, CA 92629-1924

Mailing address

33601 Rising Tide CT
Dana Point, CA 92629-1924
Phone (858) 220-1446

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1306257225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33601 RISING TIDE CT",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291924",
            "telephone_number": "858-220-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33601 RISING TIDE CT",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291924",
            "telephone_number": "858-220-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBIO SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-220-1446",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "28908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.