SYNERGY WELLNESS GROUP, INC. (NPI# 1093031064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093031064 |
| Entity Type | Organization |
| Organization Name | SYNERGY WELLNESS GROUP, INC. |
| Other Organization Name | SYNERGY WELLNESS CENTER |
| Practice Address |
7910 Downing Ave Ste 100 Bakersfield CA 93308 |
| Mailing Address |
Po Box 22317 Bakersfield CA 93390-2317 |
| Practice Telephone | 6618789100 |
| Practice Fax Number | 6618789101 |
| Mailing Telephone | 6618789100 |
| Mailing Fax Number | 6618789101 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2018-07-06 |
| Authorized Official Name | DR. JAN TROBISCH (PRESIDENT) |
| Authorized Official Telephone | 6618789100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
A83160 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Synergy Wellness Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4100 Empire Dr, Suite #120, Bakersfield, CA 933090410 | 6618789100 | 6618789101 |
| Street Address |
7910 DOWNING AVE STE 100 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704673 | Melissa Kelly | Social Worker | 7910 Downing Ave Ste 100, Bakersfield, CA 93308-5016 | 2019-08-05 |
| 1134641319 | Kaylah Breann Gonzales | Physician Assistant | 7910 Downing Ave Ste 100, Bakersfield, CA 93308-5016 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553435 | Advanced Recovery, LLC | Substance Abuse Rehabilitation Facility | 3801 Buck Owens Boulevard, Ste 105, Bakersfield, CA 93308 | 2020-03-18 |
| 1699321562 | Francisco Marquez Fuentes | Case Manager/Care Coordinator | 1197 Industry Farm Lane, Bakesfield, CA 93308 | 2019-08-15 |
| 1114571916 | Kern Health Systems | Exclusive Provider Organization | 2900 Buck Owens Blvd., Bakersfield, CA 93308 | 2019-07-30 |
| 1104396787 | Premier Associates Group, Inc. | Social Worker | 3512 Coffee Road Suite B, Bakersfield, CA 93308 | 2018-11-27 |
| 1295249191 | A&p Treatment Center, LLC | Surgery | 7910 Downing Avenue Suite 100, Bakersfield, CA 93308 | 2017-11-30 |
| 1558873448 | Nare Sahakyan | Pharmacist | 2620 N Chester Ave, Bakersfield, CA 93308 | 2017-10-31 |
| 1104352111 | Meghan Saphiloff | Nurse Practitioner | 3008 Sillect Ave Ste 210, Bakersfield, CA 93308 | 2017-05-11 |
| 1962938134 | Lauren Colella-emery | Licensed Vocational Nurse | 17695 Industrial Parkway, Bakersfield, CA 93308 | 2017-05-10 |
| 1437607926 | Bakersfieldidence Opco, LLC | Skilled Nursing Facility | 5151 Knudsen Dr., Bakersfield, CA 93308 | 2016-09-14 |
| 1578974150 | Patricia Denise Mcdermott | Licensed Vocational Nurse | 17695 Indrustrial Farm Road, Bakersfield, CA 93308 | 2014-05-16 |
| Find all providers in zip 93308 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
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|---|---|---|---|---|
| 1902458540 | Medicus Telehealth Inc. | Internal Medicine | 180 N Rexford Dr, Beverly Hills, CA 90210-5406 | 2019-07-13 |
| 1962978114 | Samer Moghaddam Md, Apc | Internal Medicine | 902 N Grand Ave Ste 201, Santa Ana, CA 92701-4218 | 2018-10-15 |
| 1972009785 | William Supplee | Internal Medicine | 151 Calderon Ave Apt 96, Mountain View, CA 94041-1433 | 2018-04-02 |
| 1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
| 1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
| 1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
| 1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
| 1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1265810311 | Products for Recovery Management Group, LLC | Internal Medicine | 24482 Caracas St., Dana Point, CA 92629-4167 | 2015-05-09 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.