CALIFORNIA NEURODIAGNOSTICS, LLC (NPI# 1932558608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932558608 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA NEURODIAGNOSTICS, LLC |
| Practice Address |
611 Gateway Blvd Ste 120281 South San Francisco CA 94080-7017 |
| Mailing Address |
4545 Fuller Dr Suite 100 Irving TX 75038-6530 |
| Practice Telephone | 6822000801 |
| Practice Fax Number | 8662794704 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | CHARLES ALVAREZ (CEO) |
| Authorized Official Telephone | 4699958416 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE FAMILY OF COMPANIES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
611 GATEWAY BLVD STE 120281 |
| City | SOUTH SAN FRANCISCO |
| State | CA |
| Zip Code | 94080-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245704303 | Patricia Sweeney | Nurse Practitioner | 435 Gran Ave, South San Francisco, CA 94080 | 2019-01-11 |
| 1518446988 | Yessenia Patricia Pena Ruiz | Counselor | 117 Pecks Ln, South San Francisco, CA 94080 | 2018-08-07 |
| 1982112579 | Breanna Mottau | Behavioral Analyst | 751a Camino Plaza, San Bruno, CA 94080 | 2018-01-17 |
| 1720594294 | Patricia Lynn Jasper | Nurse Practitioner | 395 Oyster Point Blvd., Suite 128, South San Francisco, CA 94080 | 2017-12-20 |
| 1184146755 | Breanne Ho | Student in an Organized Health Care Education/Training Program | 130 Nursery Way, South San Francisco, CA 94080 | 2017-07-14 |
| 1568843787 | Lita Wu | Optometrist | 119 Hickey Blvd, South San Francisco, CA 94080 | 2015-06-12 |
| 1720479553 | Naf Nasser Almadari | Physician Assistant | 717 Baden Ave, San Francisco, CA 94080 | 2015-02-16 |
| 1528459351 | Alexander M Gold | Internal Medicine | 270 East Grand Avenue, South San Francisco, CA 94080 | 2015-02-16 |
| 1548673411 | Elite Care Home Health Agency, Inc. | Home Health | 91 Westborough Blvd Ste 2020, South San Francisco, CA 94080 | 2014-06-08 |
| 1720415979 | Optometry Eyecareeyewear Com Inc | Optometrist | 601 Gateway Blvd., Suite 220, South San Francisco, CA 94080 | 2013-10-02 |
| Find all providers in zip 94080 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508581 | Alivecor Labs LLC | Physiological Laboratory | 444 Castro St, Mountain View, CA 94041-2017 | 2020-11-02 |
| 1821604265 | Arvia Diagnostics, Inc. | Physiological Laboratory | 356 E Olive Ave Ste 108, Burbank, CA 91502-1261 | 2020-09-21 |
| 1003429945 | Akaal Organics LLC | Physiological Laboratory | 1730 Canal Ave, Long Beach, CA 90813-1223 | 2020-08-29 |
| 1447803861 | Marin Petct Imaging, LLC | Physiological Laboratory | 4000 Civic Center Dr Ste 110, San Rafael, CA 94903-5232 | 2019-07-24 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1598238834 | Laboratory Environment LLC | Physiological Laboratory | 1436 S La Cienega Blvd Ste 208, Los Angeles, CA 90035-3761 | 2019-01-09 |
| 1508336371 | Ultratech Services | Physiological Laboratory | 118 W Stocker St # 3, Glendale, CA 91202-2509 | 2018-12-04 |
| 1710457015 | Peak Pulmonary Services LLC | Physiological Laboratory | 1447 Blue Jay Ct, Tracy, CA 95376-8353 | 2018-11-29 |
| 1306313648 | O.n. Diagnostics, LLC | Physiological Laboratory | 2150 Shattuck Ave Ste 610, Berkeley, CA 94704-1347 | 2018-10-24 |
| 1447731948 | Fountain Valley Regional Sleep Center LLC | Physiological Laboratory | 24953 Paseo De Valencia Ste 3a, Laguna Hills, CA 92653-4342 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SAN FRANCISCO |
| Zip Code | 94080 |
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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.