1. Home
  2. Directory
  3. California
  4. San Diego
  5. Specialist
  6. NPI Profile

SYNERGY SPECIALISTS MEDICAL GROUP
NPI 1043699804
Specialist in San Diego, CA

Active since May 27, 2015CLIA 05D2029280 · Waiver
3444 KEARNY VILLA RD STE 401, SAN DIEGO, CA 92123(619) 421-3400(619) 421-3557 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Synergy Specialists Medical Group NPPES

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

SYNERGY SPECIALISTS MEDICAL GROUP (NPI 1043699804) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Tal S David, President, as its authorized official.

NPPES Registry Identity

NPI1043699804
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSYNERGY SPECIALISTS MEDICAL GROUP
Location Address3444 KEARNY VILLA RD STE 401San Diego, CA 92123-1964
Mailing Address4445 Eastgate Mall, Suite 105San Diego, CA 92121-1979 · (858) 412-6080 · Fax (858) 412-6376
Phone(619) 421-3400
Fax(619) 421-3557
Organization SubpartYes
Authorized OfficialTal S DavidPresident · (858) 571-9500
Enumeration DateMay 27, 2015
Last NPPES UpdateOctober 30, 2019
✔ NPI 1043699804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3444 KEARNY VILLA RD STE 401, San Diego, CA 92123
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 05D2029280

Synergy Specialist Medical Group · Chula Vista, CA
Active · expires Sep 1, 2027
CLIA Number05D2029280
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorMichael R. Lenihan
Laboratory Phone(619) 421-3400
Laboratory LocationSynergy Specialist Medical Group955 Lane Ave Ste 200, Chula Vista, CA 91914
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RANIERI ANTHONY ROTELLI
Massage Therapist
3444 KEARNY VILLA RD STE 401
SAN DIEGO, CA 92123
San Diego County (858) 616-6400
PASCUAL DUTTON M.D.
Orthopaedic Surgery (Sports Medicine)
3444 KEARNY VILLA RD STE 401
SAN DIEGO, CA 92123
San Diego County (858) 326-0890
ALYSSA MARIE HERNANDEZ HHP, CMT
Massage Therapist
3444 KEARNY VILLA RD STE 401
SAN DIEGO, CA 92123
San Diego County (858) 616-6400

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 Specialists Medical Group's NPI number?

The NPI number for Synergy Specialists Medical Group is 1043699804. It was assigned to this organization in the NPPES registry on May 27, 2015.

Where is Synergy Specialists Medical Group located?

Synergy Specialists Medical Group is located at 3444 Kearny Villa Rd Ste 401, San Diego, CA 92123. The listed phone number is (619) 421-3400.

What is Synergy Specialists Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Synergy Specialists Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2029280) is associated with this NPI, valid through September 1, 2027. 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 Specialists Medical Group was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.