Organization Active NPI

Symmetry Medical Infusions San Diego PC

  • Clinic/Center
  • San Diego, CA
National Provider Identifier
1548824063
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.