Active NPI
Symmetry Medical Infusions San Diego PC
- Clinic/Center
- San Diego, CA
National Provider Identifier
1548824063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SYMMETRY MEDICAL INFUSIONS SAN DIEGO PC
- Practice address
- 3636 Fifth Ave Ste 300
San Diego, CA 92103-4230 - Phone
- (310) 740-7864
- Fax
- (949) 449-8325
- NPI assigned
- Apr 30, 2019
- Last updated
- Apr 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Braganza
- Title
- Credentialing Manager
- Phone
- (323) 341-4786
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary | |
| Infusion Therapy Clinic/Center | 261QI0500X | NU |
Addresses
Primary practice location
3636 Fifth Ave Ste 300
San Diego, CA 92103-4230
Mailing address
3943 Irvine Blvd Ste 628
Irvine, CA 92602-2400
Phone (310) 740-7864
National Provider Directory
National Provider DirectoryLocations
3636 5th Ave
Ste 300
San Diego, CA 92103
Phone (619) 297-4331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556582400000",
"number": "1548824063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3943 IRVINE BLVD STE 628",
"city": "IRVINE",
"state": "CA",
"postal_code": "926022400",
"telephone_number": "310-740-7864",
"fax_number": "949-449-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 FIFTH AVE STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034230",
"telephone_number": "310-740-7864",
"fax_number": "949-449-8325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMMETRY MEDICAL INFUSIONS SAN DIEGO PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A",
"authorized_official_last_name": "BRAGANZA",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "323-341-4786"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.