TYSON SYNERGY1 SOLUTIONS, INC. (NPI# 1346652666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346652666 |
| Entity Type | Organization |
| Organization Name | TYSON SYNERGY1 SOLUTIONS, INC. |
| Practice Address |
161 Avenida Baja San Clemente CA 92672-2465 |
| Practice Telephone | 9493159350 |
| Mailing Telephone | 9493159350 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | DR. STEPHANIE TAMI TYSON (CEO) |
| Authorized Official Telephone | 9493159350 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 31238 | CA | Chiropractic Providers |
| Street Address |
161 AVENIDA BAJA |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275161374 | Strive Chiropractic and Integrative Health, Gill Corporation | Chiropractor | 16 Calle Loyola, San Clemente, CA 92673-7058 | 2020-04-01 |
| 1528692183 | Connor James Naasz | Chiropractor | 113 W Avenida Valencia, San Clemente, CA 92672-4241 | 2020-02-23 |
| 1174089932 | Corey Diamond | Chiropractor | 629 Camino De Los Mares Ste 104, San Clemente, CA 92673-2829 | 2019-02-18 |
| 1144786385 | Mike Jack Laubach | Chiropractor | 903 Buena Vis Apt E, San Clemente, CA 92672-5068 | 2019-02-12 |
| 1801398466 | Stephanie Chen | Chiropractor | 1502 N El Camino Real Ste 103, San Clemente, CA 92672-5906 | 2018-02-28 |
| 1245659507 | Burton Wagner | Chiropractor | 647 Camino De Los Mares Ste 220, San Clemente, CA 92673-2807 | 2014-04-15 |
| 1295175024 | Ryan Roger Anderson | Chiropractor | 653 Camino De Los Mares Ste 100, San Clemente, CA 92673-2808 | 2013-06-25 |
| 1780923268 | Stephen Herbert Zoerner | Chiropractor | 2116 Via Aguila, San Clemente, CA 92673-5654 | 2013-02-04 |
| 1588968846 | Erin Iselin Christiansen | Chiropractor | 903 Calle Amanecer Ste 230, San Clemente, CA 92673-6251 | 2010-12-30 |
| 1053502195 | Cynthia Shoga | Chiropractor | 125 W Avenida Palizada, San Clemente, CA 92672-4706 | 2007-08-05 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
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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.