Organization Active NPI

Synergy Med

  • Emergency Care Clinic/Center
  • Stockton, CA
National Provider Identifier
1649968462
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
SYNERGY MED
Practice address
1801 E March LN Ste D460
Stockton, CA 95210-6680
Phone
(209) 472-2300
Fax
(209) 472-2446
NPI assigned
Apr 28, 2023
Organization subpart
Yes
Parent organization
SYNERGY MEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Ms. Sahithi Muppavarapu, MBBS
Title
Administrator
Phone
(209) 472-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

1801 E March LN Ste D460
Stockton, CA 95210-6680

Mailing address

1801 E March LN Ste D460
Stockton, CA 95210-6680
Phone (209) 472-2300

National Provider Directory

National Provider Directory
Part of
Synergy Med

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": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1649968462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE D460",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106680",
            "telephone_number": "209-472-2300",
            "fax_number": "209-472-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE D460",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106680",
            "telephone_number": "209-472-2300",
            "fax_number": "209-472-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGY MED",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "MUPPAVARAPU",
        "authorized_official_first_name": "SAHITHI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-472-2300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBBS"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.