Organization Active NPI

Joel M. Snyder MD, a Medical Corporation

  • Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1891941977
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A60624 Issued in CA
Legal business name
JOEL M. SNYDER MD, A MEDICAL CORPORATION
Practice address
6475 Alvarado Rd Ste 120
San Diego, CA 92120-5007
Phone
(619) 583-6133
Fax
(619) 583-0321
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Joel Snyder, MD
Title
Medical Director
Phone
(619) 583-6133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A60624 CA Primary

Addresses

Primary practice location

6475 Alvarado Rd Ste 120
San Diego, CA 92120-5007

Mailing address

6475 Alvarado Rd Ste 120
San Diego, CA 92120-5007
Phone (619) 583-6133

Other practice location 1

5726 La Jolla Blvd Ste 107
LA Jolla, CA 92037-7342
Phone (858) 459-5437

Other names 1

  • San Diego Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

5726 La Jolla Blvd
Ste 107
La Jolla, CA 92037
Phone (619) 663-3775

6475 Alvarado Rd
Ste 120
San Diego, CA 92120
Phone (619) 539-7459

Practitioners & affiliated clinicians

Practitioners 5

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": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891941977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205007",
            "telephone_number": "619-583-6133",
            "fax_number": "619-583-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205007",
            "telephone_number": "619-583-6133",
            "fax_number": "619-583-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5726 La Jolla Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920377342",
            "country_code": "US",
            "telephone_number": "858-459-5437",
            "fax_number": "858-459-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOEL M. SNYDER MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-583-6133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A60624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 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.