NPIMap

Organization Active NPI

Real Time Neuromonitoring Associates of Ca PC

  • Specialist
  • San Jose, CA
National Provider Identifier
1336492800
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
REAL TIME NEUROMONITORING ASSOCIATES OF CA PC
Practice address
99 South Almaden Blvd
Ste 600
San Jose, CA 95113
Phone
(615) 346-8182
Fax
(877) 870-7862
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Dr. George Rozier Lee III, MDNPI 1962434233
Title
President & Ceo
Phone
(615) 346-8182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

99 South Almaden Blvd
Ste 600
San Jose, CA 95113

Mailing address

336 22ND Ave N
Nashville, TN 37203-1844
Phone (615) 346-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, TN, GA, SC5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20121206000063 CA Part B Supplier - Clinic/Group Practice 9133371750 Receives reassigned benefits from 3 practitioners
Practice locations: Los Angeles, CA; San Francisco, CA; Whittier, CA
O20190318002634 TX Part B Supplier - Clinic/Group Practice 9133371750 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX
O20190322001865 TN Part B Supplier - Clinic/Group Practice 9133371750 Receives reassigned benefits from 3 practitioners
Practice locations: Nashville, TN
O20190327003302 GA Part B Supplier - Clinic/Group Practice 9133371750 Receives reassigned benefits from 5 practitioners
Practice locations: Savannah, GA
O20190403001645 SC Part B Supplier - Clinic/Group Practice 9133371750 Receives reassigned benefits from 2 practitioners
Practice locations: Mt Pleasant, SC

National Provider Directory

National Provider Directory

Locations

25 N 14th St
Ste 600
San Jose, CA 95112
Phone (408) 228-0955

1106 Chuck Dawley Blvd
Ste 200
Mt Pleasant, SC 29464
Phone 8438491551112

336 22nd Ave N
Nashville, TN 37203
Phone 6153468182920

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1336492800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-346-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SOUTH ALMADEN BLVD",
            "address_2": "STE 600",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95113",
            "telephone_number": "615-346-8182",
            "fax_number": "877-870-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TIME NEUROMONITORING ASSOCIATES OF CA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ROZIER",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "615-346-8182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.