Organization Active NPI

Glia Neurology

  • Multi-Specialty Clinic/Center
  • Temecula, CA
National Provider Identifier
1528533809
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Oct 12, 2018

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.