Endovascular Neurosurgery, Inc

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

A83715 Issued in CA

Legal business name

ENDOVASCULAR NEUROSURGERY, INC

Practice address

9867 Saskatchewan Ave
San Diego, CA 92129-3506

Phone

(619) 990-8212

NPI assigned

May 5, 2010

Last updated

May 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Olson, MD

Title

President

Phone

(619) 990-8212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1215255906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9867 SASKATCHEWAN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9867 SASKATCHEWAN AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293506",
            "telephone_number": "619-990-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOVASCULAR NEUROSURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-990-8212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A83715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Marie Enderson
• Heather Endicott
• Arthur Endo
• Eric G. Endo, MD
• Mary Ann Endo, MD
• Rene Aiko Endow-Eyer, PHARM.D., BCPP
• Arlene G Endozo, RN
• Enduro Physical Therapy, Inc.
• Michaela Ene, PH.D.
• Hannah Christine Enegren

• Vascular Neurology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Vascular Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.