Active NPI
Elcelyx Therapeutics
- Physiological Laboratory
- San Diego, CA
National Provider Identifier
1053799148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- License
- G51087
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.