Brian William Tatomir

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

1699100933 Issued in CO

Practice address

29455 Vista Plaza Dr
Laguna Niguel, CA 92677-1827

Phone

(949) 212-6679

Fax

(866) 897-0799

NPI assigned

Nov 16, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Neurologic, LLC

  • Contractor
  • Parker, CO
  • NPI 1699100933
  NPD (past)

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1568868776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29455 VISTA PLAZA DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771827",
            "telephone_number": "949-212-6679",
            "fax_number": "866-897-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29455 VISTA PLAZA DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771827",
            "telephone_number": "949-212-6679",
            "fax_number": "866-897-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATOMIR",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "CO",
            "license": "1699100933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699100933",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akiko Takeda, LMFT
• Jamie Lyn Tan
• Tanya Y. Evans, MD, Inc.
• Maria Sonia Tapia, DDS
• Monica Tarullo, LMT
• Robin Taufer, LMFT
• Mani Tavakoli
• Taylor & Yano DDS Inc
• Jeffery B Taylor, D.D.S.
• The Practice Oc, Inc.

• Electroneurodiagnostic Specialist/Technologist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; 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.