Surgical Neuromonitoring Service Inc

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PSY12851 Issued in CA

Legal business name

SURGICAL NEUROMONITORING SERVICE INC

Practice address

3005 Santa Margarita CT
Santa Rosa, CA 95405-8205

Phone

(707) 573-2341

Fax

(707) 539-2939

NPI assigned

Oct 18, 2005

Last updated

Aug 22, 2020By 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

Dr. Alex Amochaev, PHD

Title

President

Phone

(707) 573-2341

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063401461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 SANTA MARGARITA CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058205",
            "telephone_number": "707-573-2341",
            "fax_number": "707-539-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 SANTA MARGARITA CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058205",
            "telephone_number": "707-573-2341",
            "fax_number": "707-539-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL NEUROMONITORING SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMOCHAEV",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-573-2341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY12851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Support Our Students
• Katrina Lynne Suprise, LCSW
• Marie Eleese Surber
• Simy Suresh Antony, NP
• Lana M Surgenor, D.C.
• Vikki Suzanne Sutherland, D.C.
• Laura Sutliff, RN
• Sutter Bay Hospitals
• Sutter Bay Medical Foundation (Sutter West Bay Medical Foundation)
• Sutter Bay Medical Foundation (Sutter Pacific Medical Foundation)

• Health Service Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Health Service Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.