Active NPI
Glia Neurology
- Multi-Specialty Clinic/Center
- Temecula, CA
National Provider Identifier
1528533809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- GLIA NEUROLOGY
- Practice address
- 44045 Margarita Rd Ste 106
Temecula, CA 92592-2729 - Phone
- (858) 997-8529
- Fax
- (858) 534-7046
- NPI assigned
- Oct 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Branko N. Huisa-Garate, MD
- Title
- President
- Phone
- (858) 997-8529
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
44045 Margarita Rd Ste 106
Temecula, CA 92592-2729
Mailing address
44045 Margarita Rd Ste 106
Temecula, CA 92592-2729
Phone (858) 997-8529
National Provider Directory
National Provider DirectoryLocations
44045 Margarita Rd
Ste 106
Temecula, CA 92592
Phone (951) 462-4624
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Temecula, CA
- NPI 1063551000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539302400000",
"number": "1528533809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44045 MARGARITA RD STE 106",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922729",
"telephone_number": "858-997-8529",
"fax_number": "858-534-7046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 MARGARITA RD STE 106",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922729",
"telephone_number": "858-997-8529",
"fax_number": "858-534-7046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLIA NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-12",
"last_updated": "2018-10-12",
"status": "A",
"authorized_official_last_name": "HUISA-GARATE",
"authorized_official_first_name": "BRANKO",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-997-8529",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.