Joel M. Snyder MD, a Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G39469 Issued in CA

Legal business name

JOEL M. SNYDER MD, A MEDICAL CORPORATION

Doing business as

San Diego Pediatric Primary Care Medical Group, Inc.

Practice address

6475 Alvarado Rd
Suite 120
San Diego, CA 92120-5003

Phone

(619) 583-6133

Fax

(619) 583-0321

NPI assigned

Jan 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joel Myron Snyder, M.D.

Title

President

Phone

(619) 583-6133

Specialties & licenses 1

Addresses

Other names 1

• San Diego Pediatric Primary Care Medical Group, Inc. Doing business as

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1922244383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205003",
            "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",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205003",
            "telephone_number": "619-583-6133",
            "fax_number": "619-583-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL M. SNYDER MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-583-6133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G39469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Pediatric Primary Care Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joe Raphael a Professional Marriage & Child Counseling Corporation
• Joel E. Mata, M.D. Inc. (Functional Restoration San Diego)
• Joel J. Smith, M.D. Inc.
• Joel Lazar, PHD PC
• Joel M. Snyder MD, a Medical Corporation (San Diego Pediatrics)
• Joel Wong DMD Inc
• Alyssa Joel-Edwards
• Shonali Jog-Khoche, MHS, PT
• Lovinder K Johal
• Eric Johannes

• Pediatrics Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.