NPIMap

Organization Active NPI

Advanced Neurology and Neuro Diagnostics, Inc.

  • Medical Specialty Clinic/Center
  • Vista, CA
National Provider Identifier
1366887366
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ADVANCED NEUROLOGY AND NEURO DIAGNOSTICS, INC.
Practice address
2023 W Vista Way Ste D
Vista, CA 92083-6030
Phone
(858) 735-9879
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Dr. Monika Aggarwal Gupta, M.D.
Title
Owner
Phone
(858) 357-7031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2023 W Vista Way Ste D
Vista, CA 92083-6030

Mailing address

2023 W Vista Way Ste D
Vista, CA 92083-6030
Phone (858) 357-7031

National Provider Directory

National Provider Directory

Locations

2023 W Vista Way
Ste D
Vista, CA 92083
Phone (619) 330-8771

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1366887366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE D",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "858-357-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE D",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "858-735-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROLOGY AND NEURO DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "AGGARWAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-357-7031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.