SYNERGY SURGERY CENTER OF SAN DIEGO LLC
NPI 1043062870
Clinic/Center - Ambulatory Surgical in San Diego, CA

Active since April 04, 2024CLIA 05D2306650 · Waiver
9095 RIO SAN DIEGO DR STE 100, SAN DIEGO, CA 92108(619) 819-4524 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 5, 2024, May 7, 2024, Apr 4, 2024 (3 updates tracked since 2024).

About Synergy Surgery Center Of San Diego Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYNERGY SURGERY CENTER OF SAN DIEGO LLC (NPI 1043062870) is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043062870
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSYNERGY SURGERY CENTER OF SAN DIEGO LLC
Location Address9095 RIO SAN DIEGO DR STE 100San Diego, CA 92108-1680
Mailing Address9095 Rio San Diego Dr Ste 100San Diego, CA 92108-1680 · (619) 819-4524
Organization SubpartNo
Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269
Enumeration DateApril 4, 2024
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1043062870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
9095 RIO SAN DIEGO DR STE 100, San Diego, CA 92108

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2306650

Synergy Surgery Center Of San Diego LLC · San Diego, CA
Active · expires Jun 20, 2028
CLIA Number05D2306650
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorMichael R. Lenihan
Laboratory Phone(619) 819-4524
Laboratory LocationSynergy Surgery Center Of San Diego LLC9095 Rio San Diego Dr Ste 100, San Diego, CA 92108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
9095 RIO SAN DIEGO DR STE 100
SAN DIEGO, CA 92108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Synergy Surgery Center Of San Diego LLC's NPI number?

The NPI number for Synergy Surgery Center Of San Diego LLC is 1043062870. It was assigned to this organization in the NPPES registry on April 4, 2024.

Where is Synergy Surgery Center Of San Diego LLC located?

Synergy Surgery Center Of San Diego LLC is located at 9095 Rio San Diego Dr Ste 100, San Diego, CA 92108. The listed phone number is (619) 819-4524.

What is Synergy Surgery Center Of San Diego LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Synergy Surgery Center Of San Diego LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2306650) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Synergy Surgery Center Of San Diego LLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.