Organization Active NPI

Brain Cloud Diagnostics

  • Technician/Technologist
  • Elk Grove, CA
National Provider Identifier
1265070452
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Legal business name
BRAIN CLOUD DIAGNOSTICS
Practice address
9727 Elk Grove Florin Rd Ste 160
Elk Grove, CA 95624-2291
Phone
(916) 864-3066
NPI assigned
Dec 18, 2019
Last updated
Dec 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Authorized official

Name
Mr. Amir A Baig, R. EEG T, MHA
Title
Ceo
Phone
(916) 864-3066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156F00000X Primary

Addresses

Primary practice location

9727 Elk Grove Florin Rd Ste 160
Elk Grove, CA 95624-2291

Mailing address

9727 Elk Grove Florin Rd Ste 160
Elk Grove, CA 95624-2291
Phone (916) 864-3066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1265070452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD STE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242291",
            "telephone_number": "916-864-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD STE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242291",
            "telephone_number": "916-864-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN CLOUD DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-864-3066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. EEG T, MHA"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.