SYNERGY LIFESTYLE CENTER, INC. (NPI# 1730561861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730561861 |
| Entity Type | Organization |
| Organization Name | SYNERGY LIFESTYLE CENTER, INC. |
| Other Organization Name | SYNERGY RECOVERY SERVICES |
| Practice Address |
7910 Downing Ave Ste 200 Bakersfield CA 93308-5016 |
| Mailing Address |
Po Box 22317 Bakersfield CA 93390-2317 |
| Practice Telephone | 6618789930 |
| Practice Fax Number | 6618789101 |
| Mailing Telephone | 6618789100 |
| Mailing Fax Number | 6618789101 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | DR. JAN HENDRIK 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 |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
A83160 | CA | Allopathic & Osteopathic Physicians |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A83160 | CA | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
150069AP | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Synergy Recovery Services | 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 200 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93308-5016 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1821269382 | Kern County Hispanic Commission On Alcohol and Drug Abuse Services | Clinic/Center | 1304 L St, Bakersfield, CA 93301-4509 | 2008-03-12 |
| 1427198027 | Westcare California, Inc. | Clinic/Center | 2901 S. H Street, Bakersfield, CA 93304-5602 | 2007-02-06 |
| 1528138872 | American Health Services LLC | Clinic/Center | 1010 1/2 S Union Ave, Bakersfield, CA 93307-3642 | 2006-11-08 |
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| 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.