Medical Electrodiagnostics & Imaging Inc

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

MEDICAL ELECTRODIAGNOSTICS & IMAGING INC

Practice address

13160 Mindanao Way Ste 310
Marina del Rey, CA 90292-7907

Phone

(877) 436-4627

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Alexis E Dixon, MD

Title

Ceo

Phone

(877) 436-4627

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1114726429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 310",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927907",
            "telephone_number": "877-436-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE 310",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927907",
            "telephone_number": "877-436-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ELECTRODIAGNOSTICS & IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-436-4627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electrodiagnostic Medicine Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Electrodiagnostic Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.