THE NEURON CLINIC GP (NPI# 1124582424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124582424 |
Entity Type | Organization |
Organization Name | THE NEURON CLINIC GP |
Practice Address |
44045 Margarita Rd Ste 106 Temecula CA 92592-2729 |
Practice Telephone | 9514624624 |
Practice Fax Number | 9514624625 |
Mailing Telephone | 9514624624 |
Mailing Fax Number | 9514624625 |
Enumeration Date | 2019-01-31 |
Last Update Date | 2019-01-31 |
Authorized Official Name | BRANKO N. HUISA-GARATE (PARTNER) |
Authorized Official Telephone | 9514624624 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
44045 MARGARITA RD STE 106 |
City | TEMECULA |
State | CA |
Zip Code | 92592-2729 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063551000 | Branko N Huisa-garate | Psychiatry & Neurology | 44045 Margarita Rd Ste 106, Temecula, CA 92592-2729 | 2007-02-06 |
1528533809 | Glia Neurology | Psychiatry & Neurology | 44045 Margarita Rd Ste 106, Temecula, CA 92592-2729 | 2018-10-12 |
1215357223 | Melanie Wu | Psychiatry & Neurology | 44045 Margarita Rd Ste 106, Temecula, CA 92592-2729 | 2014-04-17 |
1922243401 | Monika A Gupta | Psychiatry & Neurology | 44045 Margarita Rd Ste 106, Temecula, CA 92592-2729 | 2008-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
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1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.