Organization Active NPI

Symed-Cal Medical Group

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1396793196
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SYMED-CAL MEDICAL GROUP
Practice address
818 W 7TH St FL 2
Los Angeles, CA 90017-3407
Phone
(800) 370-3651
Fax
(877) 515-7147
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Melissa King
Title
Director, Credentialing Enrollment
Phone
(800) 370-3651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

818 W 7TH St FL 2
Los Angeles, CA 90017-3407

Mailing address

55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534
Phone (800) 370-3651

Other identifiers 2

IdentifierTypeStateIssuer
GNP000140MedicaidCA
DE3373OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1331 Camden Ave
Campbell, CA 95008
Phone (408) 377-4030

22103 Redwood Rd
Castro Valley, CA 94546
Phone (510) 534-8848

5053 Peck Rd
El Monte, CA 91732
Phone (626) 445-4245

1260 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-6642

818 W 7th St
Fl 2
Los Angeles, CA 90017

530 W Dunne Ave
Morgan Hill, CA 95037
Phone (408) 779-3633

2575 E 8th St
National City, CA 91950
Phone (619) 428-4119

12530 Rosecrans Ave
Norwalk, CA 90650

3020 E 15th St
Oakland, CA 94601
Phone (501) 261-5613

911 Bryant St
Palo Alto, CA 94301
Phone (650) 327-0511

4460 Black Ave
Ste J
Pleasanton, CA 94566
Phone (925) 461-9335

8171 Magnolia Ave
Riverside, CA 92504
Phone (951) 657-3842

4715 Viewridge Ave
San Diego, CA 92123
Phone 80025787152702

4715 Viewridge Ave
#A
San Diego, CA 92123

2121 Pine St
San Francisco, CA 94115
Phone (415) 922-5085

18 N Jackson Ave
San Jose, CA 95116

75 N 13th St
San Jose, CA 95112
Phone (408) 295-2665

850 Sonoma Ave
Santa Rosa, CA 95404
Phone (707) 544-7750

1250 Broadway
Sonoma, CA 95476
Phone (707) 938-8406

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396793196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HATCHETTS HILL RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711534",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W 7TH ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173407",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMED-CAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING ENROLLMENT",
        "authorized_official_telephone_number": "800-370-3651"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GNP000140",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE3373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.