Individual provider Active NPI

Sherre L Symonds, CMF

  • Mastectomy Fitter
  • Rancho Santa Fe, CA
National Provider Identifier
1720719289
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
01251 Issued in CA
Practice address
5535 Cancha de Golf Ste 101
Rancho Santa Fe, CA 92091-9504
Phone
(858) 759-6325
Fax
(858) 759-6329
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mastectomy Fitter 224900000X 01251 CA Primary

Addresses

Primary practice location

5535 Cancha de Golf Ste 101
Rancho Santa Fe, CA 92091-9504

Mailing address

5535 Cancha de Golf Ste 101
Rancho Santa Fe, CA 92091-9504
Phone (858) 759-6325

Other names 1

  • Sherre Cain Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
01251CAMDMastectomy Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Only Grace Inc CurrentSince Jul 24, 2022 Accepting new patients

Locations

5535 Cancha de Golf
Ste 101
Rancho Santa Fe, CA 92091
Phone (858) 759-6325

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1720719289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 CANCHA DE GOLF STE 101",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920919504",
            "telephone_number": "858-759-6325",
            "fax_number": "858-759-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 CANCHA DE GOLF STE 101",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920919504",
            "telephone_number": "858-759-6325",
            "fax_number": "858-759-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMONDS",
        "first_name": "SHERRE",
        "middle_name": "L",
        "credential": "CMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "CA",
            "license": "01251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRE",
            "last_name": "CAIN",
            "credential": "CMF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Santa Fe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.