Vigilant Neuromonitoring LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

VIGILANT NEUROMONITORING LLC

Practice address

20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223

Phone

(714) 322-1344

NPI assigned

Jul 30, 2018

Organization subpart

No

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

Authorized official

Name

Terry Sisco

Title

Ceo

Phone

(714) 322-1344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1356829634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103907",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911890183",
            "telephone_number": "714-322-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20331 IRVINE AVE STE E2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600223",
            "telephone_number": "714-322-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANT NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "SISCO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-322-1344"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Raymond Vicencio, N.P.
• Tiffany Vicencio
• Victoria Adams
• Richard Blake Viehe, D.P.M.
• Alice Thie Vieira, PH.D.
• Vigilant Physicians Readers, Inc
• Greg J Vigoren, D.D.S.
• Nathalie Vilca
• Chelsea Vilicich, PA-C
• Amberlynn Sabrina Villa

• Contractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.