Active NPI
Sylvain Palmer, MD
- Neurological Surgery Physician
- Mission Viejo, CA
National Provider Identifier
1508971912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- C38616
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C38616 | Other | CA | MEDICAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120611000628 | CA | Practitioner - Neurosurgery | 0446414023 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38616 | CA | MD | General Practice Dentistry |
| C38616 | CA | MD | Neurological Surgery Physician |
Interoperability endpoints
- 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.
-
- Neurological Surgery Physician
- Mission Viejo, CA
- NPI 1245345834
-
- Neurological Surgery Physician
- Mission Viejo, CA
- NPI 1538713227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.