NPIMap

Organization Active NPI

Synergy Specialists Medical Group

Doing business as Synergy Orthopedic Specialists Medical Group

  • Specialist
  • La Jolla, CA
National Provider Identifier
1679952337
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SYNERGY SPECIALISTS MEDICAL GROUP
Doing business as
Synergy Orthopedic Specialists Medical Group
Practice address
9834 Genesee Ave Ste 228
La Jolla, CA 92037-1215
Phone
(858) 455-9942
Fax
(858) 455-6473
NPI assigned
May 27, 2015
Last updated
Oct 30, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SYNERGY SPECIALISTS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Dr. Tal S David, MDNPI 1629092473
Title
President
Phone
(858) 571-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

9834 Genesee Ave Ste 228
La Jolla, CA 92037-1215

Mailing address

4445 Easgate Mall
Suite 105
San Diego, CA 92121-1979
Phone (858) 412-6080

Other names 1

  • Synergy Orthopedic Specialists Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Synergy Specialists Medical Group

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1679952337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 EASGATE MALL",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211979",
            "telephone_number": "858-412-6080",
            "fax_number": "858-412-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 228",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371215",
            "telephone_number": "858-455-9942",
            "fax_number": "858-455-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SPECIALISTS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGY SPECIALISTS MEDICAL GROUP",
        "enumeration_date": "2015-05-27",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "TAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-571-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Orthopedic Specialists Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

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