Sierra Neuromonitoring LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SIERRA NEUROMONITORING LLC

Practice address

830 Wadsworth Ave
Pismo Beach, CA 93449-2362

Phone

(804) 398-8505

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Peter Whaley, CNIMNPI 1689029977

Title

Owner-Manager

Phone

(804) 398-8505

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Whaley

  • Electroneurodiagnostic Specialist/Technologist
  • Dallas, TX
  • NPI 1689029977
  NPD Authorized official

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1548968134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WADSWORTH AVE",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492362",
            "telephone_number": "804-398-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WADSWORTH AVE",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492362",
            "telephone_number": "804-398-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "804-398-8505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace Jack Schwam, M.D.
• Scott E Schachter Oda Professional Corporation (Advanced Eyecare-Eyewear Optometry)
• Scott Robertson MD Inc
• Alexandria Settevendemie, PT, DPT
• Young Hoon Shin, PHARM,D
• Nicole Lynn Simental, RN- BSN FNP
• James Robert Skow, M.D., F.A.C.S.
• Slo Psychological Services (SLO Psych Services)
• Johann Smit
• Roberta Jean Smith, C.PED

• Neurology Physician in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.