NPIMap

Organization Active NPI

L Snyder Incorporated

Doing business as Pacific MAT Center

  • Addiction Medicine (Family Medicine) Physician
  • Dana Point, CA
National Provider Identifier
1821640137
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
L SNYDER INCORPORATED
Doing business as
Pacific MAT Center
Practice address
34052 La Plaza #101
Dana Point, CA 92629
Phone
(949) 496-4369
Fax
(949) 496-9365
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Larry Snyder, MDNPI 1902902653
Title
Physician -Addiction Specialist
Phone
(949) 616-4627

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
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

34052 La Plaza #101
Dana Point, CA 92629

Mailing address

34145 Pacific Coast Highway #343
Dana Point, CA 92629
Phone (949) 616-4627

Other names 1

  • Pacific MAT Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
L Snyder Inc2 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

34052 La Plaza
Ste 101
Dana Point, CA 92629
Phone (949) 481-8790

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": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1821640137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34145 PACIFIC COAST HIGHWAY #343",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "92629",
            "telephone_number": "949-616-4627",
            "fax_number": "949-496-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34052 LA PLAZA #101",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "92629",
            "telephone_number": "949-496-4369",
            "fax_number": "949-496-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L SNYDER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PHYSICIAN -ADDICTION SPECIALIST",
        "authorized_official_telephone_number": "949-616-4627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific MAT Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.