Neurocare Electrodiagnostics a

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

PT26416 Issued in CA

Legal business name

NEUROCARE ELECTRODIAGNOSTICS A

Practice address

4987 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9364

Phone

(916) 947-1980

Fax

(916) 941-0153

NPI assigned

Mar 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Darin Michael White, PT,DPT,ECS

Title

President

Phone

(916) 947-1980

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1366718165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1231",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957631231",
            "telephone_number": "916-947-1980",
            "fax_number": "916-941-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 GOLDEN FOOTHILL PKWY",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629364",
            "telephone_number": "916-947-1980",
            "fax_number": "916-941-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE ELECTRODIAGNOSTICS A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-947-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,ECS"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "CA",
            "license": "PT26416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0264160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.