Organization Active NPI

Eeg Express Inc.

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • Walnut Creek, CA
National Provider Identifier
1376240077
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X
Legal business name
EEG EXPRESS INC.
Practice address
2872 Ygnacio Valley Rd # 244
Walnut Creek, CA 94598-3534
Phone
(818) 336-6262
Fax
(818) 362-1295
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Mona Saad
Title
Billing Manager
Phone
(818) 336-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X NU Primary

Addresses

Primary practice location

2872 Ygnacio Valley Rd # 244
Walnut Creek, CA 94598-3534

Mailing address

2872 Ygnacio Valley Rd # 244
Walnut Creek, CA 94598-3534
Phone (818) 336-6262

Other names 1

  • EEG EXPRESS INC. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320001125 CA Part B Supplier - Clinic/Group Practice 6901270669 Receives reassigned benefits from 1 practitioner
Practice locations: San Luis Obispo, CA; Templeton, CA; Walnut Creek, CA

National Provider Directory

National Provider Directory

Locations

2872 Ygnacio Valley Rd
#244
Walnut Creek, CA 94598
Phone (818) 336-6262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1376240077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 YGNACIO VALLEY RD # 244",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983534",
            "telephone_number": "818-336-6262",
            "fax_number": "818-362-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 YGNACIO VALLEY RD # 244",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983534",
            "telephone_number": "818-336-6262",
            "fax_number": "818-362-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EEG EXPRESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-336-6262"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EEG EXPRESS INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.