Organization Active NPI

Elcelyx Therapeutics

  • Physiological Laboratory
  • San Diego, CA
National Provider Identifier
1053799148
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
G51087 Issued in CA
Legal business name
ELCELYX THERAPEUTICS
Practice address
11975 El Camino Real Ste 305
San Diego, CA 92130-2543
Phone
(858) 344-2816
NPI assigned
May 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dr. Alain D Baron, MD
Title
Ceo
Phone
(858) 344-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X G51087 CA Primary

Addresses

Primary practice location

11975 El Camino Real Ste 305
San Diego, CA 92130-2543

Mailing address

11975 El Camino Real Ste 305
San Diego, CA 92130-2543
Phone (858) 344-2816

National Provider Directory

National Provider Directory

Locations

11975 El Camino Real
Ste 305
San Diego, CA 92130
Phone (858) 344-2816

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1053799148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11975 EL CAMINO REAL STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302543",
            "telephone_number": "858-344-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11975 EL CAMINO REAL STE 305",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302543",
            "telephone_number": "858-344-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCELYX THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-344-2816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "G51087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.