Alpha Neuro-Monitoring, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

ALPHA NEURO-MONITORING, LLC

Practice address

751 E Blithedale Ave # 369
Mill Valley, CA 94941-1515

Phone

(281) 346-3480

NPI assigned

Apr 14, 2020

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Whitehead

Title

Director, Clinical Services

Phone

(415) 765-7105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1417576901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949420369",
            "telephone_number": "281-346-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 E BLITHEDALE AVE # 369",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411515",
            "telephone_number": "281-346-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA NEURO-MONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL SERVICES",
        "authorized_official_telephone_number": "415-765-7105"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.