NPIMap

Organization Active NPI

Encephalogic Medical Group, Inc.

Doing business as Pacific Neuroscience Medical Group, Inc.

  • Neurology Physician
  • Oxnard, CA
National Provider Identifier
1144340662
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ENCEPHALOGIC MEDICAL GROUP, INC.
Doing business as
Pacific Neuroscience Medical Group, Inc.
Practice address
1701 Solar Dr
Suite 140
Oxnard, CA 93030-0134
Phone
(805) 278-4148
Fax
(805) 278-4634
NPI assigned
Mar 29, 2007
Last updated
Aug 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. James P. Sutton, M.D.
Title
President - Medical Director
Phone
(805) 278-4148

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X CA
Neurology Physician 2084N0400X CA Primary

Addresses

Primary practice location

1701 Solar Dr
Suite 140
Oxnard, CA 93030-0134

Mailing address

1701 Solar Dr
Suite 140
Oxnard, CA 93030-0134
Phone (805) 278-4148

Other names 1

  • Pacific Neuroscience Medical Group, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1701 Solar Dr
Ste 140
Oxnard, CA 93030
Phone (805) 278-4148

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1144340662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOLAR DR",
            "address_2": "SUITE 140",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300134",
            "telephone_number": "805-278-4148",
            "fax_number": "805-278-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOLAR DR",
            "address_2": "SUITE 140",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300134",
            "telephone_number": "805-278-4148",
            "fax_number": "805-278-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCEPHALOGIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT - MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-278-4148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Neuroscience Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.