Integrated Neurology & Pain Management, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

INTEGRATED NEUROLOGY & PAIN MANAGEMENT, PC

Doing business as

Virtual Consult MD, LLC

Practice address

155 Glen Cove Marina Rd E Ste 100
Vallejo, CA 94591-7284

Phone

(707) 980-6257

Fax

(707) 980-6692

NPI assigned

Jan 31, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Amar Anand, MDNPI 1407297005

Title

Ceo

Phone

(707) 980-6257

Specialties & licenses 2

Addresses

Other names 1

• Virtual Consult MD, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Amar Anand, MD

  • Neurology Physician
  • Vallejo, CA
  • NPI 1407297005
  Medicare reassignment Care Compare group NPD Authorized official
• Alexandra Helene Nicholson, M.D.

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1063953248

  CA

  Medicare reassignment Care Compare group NPD
• Alice Feng

  • Physician Assistant
  • Walnut Creek, CA
  • NPI 1881481000
  Medicare reassignment

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1073144762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 BANCROFT ROAD STE 905",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981531",
            "telephone_number": "707-980-6257",
            "fax_number": "707-980-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GLEN COVE MARINA RD E STE 100",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917284",
            "telephone_number": "707-980-6257",
            "fax_number": "707-980-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED NEUROLOGY & PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "AMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-980-6257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virtual Consult MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virtual Consult MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Imelda F. Abakan
• Sunida Infahsaeng, RD
• Joanna Ingebritsen
• Maricar Inigo, N.P.
• Sneha Innes, D.D.S.
• Ammar Iqbal
• Tinley Anne Ireland
• Jay R. Isaacson, MD
• Ashley Isadore, MHSP
• Aleksander A Isazade, M.D.

• Neurology Physician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.