Nexxgen Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEXXGEN LABORATORIES

Practice address

8222 Vickers St Ste 105
San Diego, CA 92111-2118

Phone

(858) 256-0229

NPI assigned

Dec 3, 2019

Last updated

Nov 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Bunger-Mansor

Title

Ceo

Phone

(858) 256-0229

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1538706049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 VICKERS ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112118",
            "telephone_number": "858-256-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 VICKERS ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112118",
            "telephone_number": "858-256-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXXGEN LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "BUNGER-MANSOR",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-256-0229"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "todd@nexxgenlab.com",
            "affiliation": "N",
            "address_1": "20805 N 19th Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850273557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Next Level Vitality LLC
• Next Step Wound Care
• Nextgen Psyche and Wellness LLC
• Nextimage Holdings LLC
• Nexx Gen Laboratories
• Frank Nezhadian, MD
• Allyl NG McClure
• Edna On-Yi NG-Chen, PHARM.D.
• Alex NG
• Allen Chan NG, DPT, PT, OCS

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.