ADVANCED EP DIAGNOSTICS, INC. (NPI# 1144732397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144732397 |
| Entity Type | Organization |
| Organization Name | ADVANCED EP DIAGNOSTICS, INC. |
| Practice Address |
2550 Samaritan Dr Ste D San Jose CA 95124-4104 |
| Practice Telephone | 4085406861 |
| Practice Fax Number | 4085406865 |
| Mailing Telephone | 4085406861 |
| Mailing Fax Number | 4085406865 |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2017-10-27 |
| Authorized Official Name | DR. EDWARD RUSTAMZADEH (PRESIDENT) |
| Authorized Official Telephone | 6503195559 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
CA | Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ADVANCED EP DIAGNOSTICS, INC | 2550 Samaritan Drivesuite D, San Jose, CA 95124 |
| Street Address |
2550 SAMARITAN DR STE D |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104807684 | Navaid Asad | Internal Medicine | 2550 Samaritan Dr Ste D, San Jose, CA 95124 | 2005-11-10 |
| 1386117794 | Msalam M Sara Md Inc | Internal Medicine | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2019-01-08 |
| 1417449414 | Navaid Asad Md Medical Corp | Internal Medicine | 2550 Samaritan Dr Ste D, San Jose, CA 95124 | 2018-06-05 |
| 1760773931 | Msalam Mtanous Sara | Internal Medicine | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2011-04-22 |
| 1780888107 | Stanley A. Shatsky, M.d. A Professional Corporation | Neurological Surgery | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2007-06-11 |
| 1922156157 | David W Noller | Urology | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2007-01-05 |
| 1497726095 | Mark Wescott Noller | Urology | 2550 Samaritan Dr Ste D, San Jose, CA 95124-4104 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063994879 | Martin Phan | Specialist/Technologist, Other | 2995 Edison Dr, San Jose, CA 95133-2412 | 2018-08-29 |
| 1811263650 | Geoffrey Bush | Specialist/Technologist, Other | 2105 Forest Ave, San Jose, CA 95128 | 2012-03-27 |
| 1255420329 | Advanced Respiratory & Sleep Medicine, Inc | Specialist/Technologist, Other | 105 N Bascom Ave Ste 202, San Jose, CA 95128-1811 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996296 | Kelly Olivia Brand | Specialist/Technologist, Other | 11044 Tennessee Ave, Los Angeles, CA 90064-1966 | 2020-06-09 |
| 1417576901 | Alpha Neuro-monitoring, LLC | Specialist/Technologist, Other | 751 E Blithedale Ave # 369, Mill Valley, CA 94941-1515 | 2020-04-14 |
| 1386276624 | Pinpoint Monitoring LLC | Specialist/Technologist, Other | 73521 Jameson Rd, Palm Desert, CA 92211-2031 | 2020-02-05 |
| 1255986329 | Hope Diagnostics Inc | Specialist/Technologist, Other | 10999 Riverside Dr 204, North Hollywood, CA 91602-2239 | 2019-08-06 |
| 1982267001 | California Diagnostic Specialists, Inc. | Specialist/Technologist, Other | 9191 Westminster Ave # 209, Garden Grove, CA 92844-2751 | 2019-04-15 |
| 1083174213 | Svetlana Almeida | Specialist/Technologist, Other | 28201 La Plumosa, Laguna Niguel, CA 92677-7049 | 2019-03-22 |
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1184191256 | Satellite Medical LLC | Specialist/Technologist, Other | 3478 Buskirk Ave Ste 140, Pleasant Hill, CA 94523-4383 | 2018-10-26 |
| 1285123588 | Vincent Mattiello | Specialist/Technologist, Other | 13924 Marquesas Way Apt 2302, Marina Del Rey, CA 90292-6020 | 2018-05-02 |
| 1013418011 | Julie Bloomfield | Specialist/Technologist, Other | 6645 Elegant Tern Pl, Carlsbad, CA 92011-2640 | 2018-02-24 |
| Find all providers with the same taxonomy | ||||
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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.