Axon Neurodiagnostics

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

AXON NEURODIAGNOSTICS

Practice address

333 Tonopah Ave
La Puente, CA 91744-3532

Phone

(888) 851-3577

Fax

(888) 851-3671

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aisha Bailey

Title

Billing Directror

Phone

(888) 851-3677

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1063117729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TONOPAH AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917443532",
            "telephone_number": "888-851-3577",
            "fax_number": "888-851-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TONOPAH AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917443532",
            "telephone_number": "888-851-3577",
            "fax_number": "888-851-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON NEURODIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "AISHA",
        "authorized_official_title_or_position": "BILLING DIRECTROR",
        "authorized_official_telephone_number": "888-851-3677"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Arias, RN LICENSE:635614
• Jennifer Arquiza
• Georgina Anna Arroyo
• Guillermo Arzola
• Kira Kristine Au, M.S., A.T.C.
• Nagwa L Azer, MD
• Azusa Way Family Medical Clinic
• B. Deirmenjian, DDS, Inc. (Smiles West)
• Baart
• Baart Behavioral Health Services, Inc. (BAART Programs La Puente)

• Electroneurodiagnostic Specialist/Technologist in La Puente, CA
• Providers in La Puente, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.