SYMBA CENTER
NPI 1083362297
Clinic/Center in Victorville, CA

Active since March 16, 2022CLIA 05D2304769 · Waiver
16902 1ST ST, VICTORVILLE, CA 92395(442) 372-7068 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Mar 30, 2026, Sep 12, 2025 (3 updates tracked since 2025).

About Symba Center NPPES

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

SYMBA CENTER (NPI 1083362297) is a healthcare organization registered as a clinic/center in Victorville, California and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 16, 2028, maintains 3 additional practice locations, and lists Shawn Robert Smith, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083362297
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSYMBA CENTER
Location Address16902 1ST STVictorville, CA 92395-3111
Mailing Address16519 Victor St Ste 424Victorville, CA 92395-3935 · (442) 372-7068
Organization SubpartNo
Authorized OfficialShawn Robert SmithCeo · (442) 372-7068
Enumeration DateMarch 16, 2022
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1083362297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
16902 1ST ST, Victorville, CA 92395

Secondary Practice Locations 3

Location 117133 Valley BlvdFontana, CA 92335-6811 · Phone (442) 372-7068
Location 21522 W Mission BlvdOntario, CA 91762-4730 · Phone (442) 372-7068
Location 318422 Bear Valley Rd Bldg 44Victorville, CA 92395-5850 · Phone (442) 372-7068

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Symba Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Symba Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1588158711
16902 FIRST STREET
Victorville, CA 92395
(760) 515-2464
✔ PECOSSame address
Family Practice
NPI 1932691151
25455 BARTON RD STE 204B
Loma Linda, CA 92354
(909) 558-6600
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2304769

Symba Center · Victorville, CA
Active · expires May 16, 2028
CLIA Number05D2304769
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorJoshua E. Wendt
Laboratory Phone(760) 515-2464
Laboratory LocationSymba Center16902 First Street, Victorville, CA 92395
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Symba Center's NPI number?

The NPI number for Symba Center is 1083362297. It was assigned to this organization in the NPPES registry on March 16, 2022.

Where is Symba Center located?

Symba Center is located at 16902 1st St, Victorville, CA 92395. The listed phone number is (442) 372-7068.

What is Symba Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Symba Center enrolled in Medicare?

Yes. Symba Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Symba Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Symba Center, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Symba Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304769) is associated with this NPI, valid through May 16, 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 Symba Center was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.