Organization Active NPI

The Neuron Clinic GP

  • Neurology Physician
  • Temecula, CA
National Provider Identifier
1124582424
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
THE NEURON CLINIC GP
Practice address
44045 Margarita Rd Ste 106
Temecula, CA 92592-2729
Phone
(951) 462-4624
Fax
(951) 462-4625
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Branko N. Huisa-Garate, MD
Title
Partner
Phone
(951) 462-4624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

44045 Margarita Rd Ste 106
Temecula, CA 92592-2729

Mailing address

44045 Margarita Rd Ste 106
Temecula, CA 92592-2729
Phone (951) 462-4624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190501001951 CA Part B Supplier - Clinic/Group Practice 2961744586 Receives reassigned benefits from 27 practitioners
Practice locations: Temecula, CA; San Marcos, CA; Palm Springs, CA; Murrieta, CA; El Cajon, CA; Corona, CA; Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

450 Fourth Ave
Ste 214
Chula Vista, CA 91910
Phone (619) 425-3840

341 Magnolia Ave
Ste 102
Corona, CA 92879
Phone (951) 371-8109

895 E Madison Ave
El Cajon, CA 92020

25186 Hancock Ave
Murrieta, CA 92562

25186 Hancock Ave
Ste 220
Murrieta, CA 92562

838 Nordahl Rd
Ste 200
San Marcos, CA 92069
Phone (619) 425-3840

838 Nordahl Rd
Ste 310
San Marcos, CA 92069
Phone (442) 999-5977

44045 Margarita Rd
#106
Temecula, CA 92592
Phone (951) 462-4624

44045 Margarita Rd
Temecula, CA 92592

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24703/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1124582424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-462-4624",
            "fax_number": "951-462-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-462-4624",
            "fax_number": "951-462-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEURON CLINIC GP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "HUISA-GARATE",
        "authorized_official_first_name": "BRANKO",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-462-4624",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.