Organization Active NPI

California Center for Neurointerventional Surgery

  • Specialist
  • La Jolla, CA
National Provider Identifier
1598049272
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G88237 Issued in CA
Legal business name
CALIFORNIA CENTER FOR NEUROINTERVENTIONAL SURGERY
Practice address
9834 Genesee Ave
411
La Jolla, CA 92037-1223
Phone
(858) 677-1755
Fax
(858) 677-1771
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dr. Giuseppe Ammirati, M.D.NPI 1861653990
Title
President
Phone
(858) 677-1755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G88237 CA Primary

Addresses

Primary practice location

9834 Genesee Ave
411
La Jolla, CA 92037-1223

Mailing address

23052 Alicia Pkwy # 619
Mission Viejo, CA 92692-1643
Phone (714) 808-9797

Other identifiers 1

IdentifierTypeStateIssuer
FR866AOtherCAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000592 CA Part B Supplier - Clinic/Group Practice 8325215312 Receives reassigned benefits from 9 practitioners
Practice locations: La Jolla, CA

National Provider Directory

National Provider Directory

Locations

9834 Genesee Ave
Ste 411
La Jolla, CA 92037
Phone (858) 453-7700

5395 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 569-8959

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 9

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1598049272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23052 ALICIA PKWY # 619",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921643",
            "telephone_number": "714-808-9797",
            "fax_number": "714-808-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "411",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-677-1755",
            "fax_number": "858-677-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CENTER FOR NEUROINTERVENTIONAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "AMMIRATI",
        "authorized_official_first_name": "GIUSEPPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-677-1755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G88237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FR866A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.