Individual provider Active NPI

Sylvain Palmer, MD

  • Neurological Surgery Physician
  • Mission Viejo, CA
National Provider Identifier
1508971912
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
C38616 Issued in CA
Practice address
27799 Medical Center Rd Ste 200
Mission Viejo, CA 92691-6400
Phone
(949) 364-1060
Fax
(949) 364-5761
NPI assigned
Aug 19, 2006
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X C38616 CA Primary

Addresses

Primary practice location

27799 Medical Center Rd Ste 200
Mission Viejo, CA 92691-6400

Mailing address

668 N Coast Hwy # 422
Laguna Beach, CA 92651-1513
Phone (949) 364-1060

Other identifiers 1

IdentifierTypeStateIssuer
C38616OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000628 CA Practitioner - Neurosurgery 0446414023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38616CAMDGeneral Practice Dentistry
C38616CAMDNeurological Surgery Physician

Interoperability endpoints

  • Direct secure messaging: spalmer15304@direct.memorialcare.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1508971912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N COAST HWY # 422",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511513",
            "telephone_number": "949-364-1060",
            "fax_number": "949-364-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27799 MEDICAL CENTER RD STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916400",
            "telephone_number": "949-364-1060",
            "fax_number": "949-364-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SYLVAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C38616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C38616",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.