Organization Active NPI

Synergy Multidisciplinary Health Group, Inc.

  • Specialist
  • San Luis Obispo, CA
National Provider Identifier
1619019171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C50374 Issued in CA
Legal business name
SYNERGY MULTIDISCIPLINARY HEALTH GROUP, INC.
Practice address
889 Murray St
San Luis Obispo, CA 93405-1736
Phone
(805) 544-6846
Fax
(805) 544-3711
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Misha Shah, M.D.
Title
Physician
Phone
(805) 544-6846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X C50374 CA Primary

Addresses

Primary practice location

889 Murray St
San Luis Obispo, CA 93405-1736

Mailing address

889 Murray St
San Luis Obispo, CA 93405-1736
Phone (805) 544-6846

National Provider Directory

National Provider Directory
Tax ID family
Synergy Health Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

889 Murray Ave
San Luis Obispo, CA 93405
Phone (805) 456-2333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619019171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 MURRAY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051736",
            "telephone_number": "805-544-6846",
            "fax_number": "805-544-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 MURRAY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051736",
            "telephone_number": "805-544-6846",
            "fax_number": "805-544-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MULTIDISCIPLINARY HEALTH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-544-6846",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C50374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.