Gamma Neuro Network of Texas PLLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

GAMMA NEURO NETWORK OF TEXAS PLLC

Practice address

475 Washington Blvd
Marina del Rey, CA 90292-5287

Phone

(310) 923-1437

NPI assigned

Dec 11, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel Vitantonio, MDNPI 1083024145

Title

President

Phone

(310) 923-1437

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Vitantonio, MD

  • Clinical Neurophysiology Physician
  • Marina del Rey, CA
  • NPI 1083024145
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1003683848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2277",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902942277",
            "telephone_number": "310-923-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WASHINGTON BLVD",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925287",
            "telephone_number": "310-923-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMA NEURO NETWORK OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "VITANTONIO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-923-1437",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Fuentes
• Melea Delise Futrell, PA-C
• Kelly Marie Gafni, RD
• Faye Gaitens, PT
• Gamma Neuro Network Inc
• Garfield Beach CVS LLC
• Gary Brazina MD Inc.
• Gary Brazina MD, Inc.
• Kristin Geiger, NP
• Generation Medical Services, a Med Corp

• Clinical Neurophysiology Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Clinical Neurophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.