Organization Active NPI

Vigilant Physicians Readers, Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Newport Beach, CA
National Provider Identifier
1104398817
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
VIGILANT PHYSICIANS READERS, INC
Practice address
20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223
Phone
(619) 393-5299
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Terry Sisco
Title
Ceo
Phone
(714) 322-1344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223

Mailing address

PO Box 104035
Pasadena, CA 91189-4035
Phone (619) 393-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220627003325 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8224374855 Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

Dept LA 24887
Pasadena, CA 91185

Dept LA 24877
Pasadena, CA 91185

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1104398817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104035",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911894035",
            "telephone_number": "619-393-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20331 IRVINE AVE STE E2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600223",
            "telephone_number": "619-393-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANT PHYSICIANS READERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-322-1344"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.