Active NPI
Cynthia Fambro II, M.D.
- Family Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A153223
- Practice address
- 950 S Euclid Ave
San Diego, CA 92114-6201 - Phone
- (619) 662-4100
- NPI assigned
- Apr 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A153223 | CA | Primary |
Addresses
Primary practice location
950 S Euclid Ave
San Diego, CA 92114-6201
Mailing address
1403 Lomita Blvd
Suite 102
Harbor City, CA 90710-2076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1136 D Ave
National City, CA 91950-3412
Phone (619) 662-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153223 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Multi-Specialty | Current | Accepting new patients |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Scripps Health | Multi-Specialty | Past | Accepting new patients |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Past | Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
950 S Euclid Ave
San Diego, CA 92114
Phone (619) 622-4100
1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- cfambro18494@syhealth.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
Multi-Specialty
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
dba San Ysidro Health Chula Vista
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1326486861
-
dba San Ysidro Health National City
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1003869363
-
dba Scripps Mercy Hospital
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1710331707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 LOMITA BLVD",
"address_2": "SUITE 102",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907102076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S EUCLID AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921146201",
"telephone_number": "619-662-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAMBRO",
"first_name": "CYNTHIA",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-16",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A153223",
"primary": true
}
],
"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 Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.