Active NPI
Nu Wave NDT Inc
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
National Provider Identifier
1689327603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NU WAVE NDT INC
- Practice address
- 1720 E. Cesar Chavez Avenue
Los Angeles, CA 90033 - Phone
- (323) 268-5000
- NPI assigned
- Jan 31, 2022
- Organization subpart
- Yes
- Parent organization
- NU WAVE NDT INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rocio Baena, R. EEG., CNIM, BS
- Title
- Intraoperativeneuromonitorist
- Phone
- (626) 224-1287
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1720 E. Cesar Chavez Avenue
Los Angeles, CA 90033
Mailing address
1108 N Angeleno Ave # 911
Azusa, CA 91702-1913
Phone (626) 224-1287
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17001125572 | Other | CA | NPI 1 |
| 17001125572 | Other | CA | NPI |
National Provider Directory
National Provider Directory- Part of
- Nu Wave NDT Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Electroneurodiagnostic Specialist/Technologist
- Azusa, CA
- NPI 1700125572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1689327603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 N ANGELENO AVE # 911",
"city": "AZUSA",
"state": "CA",
"postal_code": "917021913",
"telephone_number": "626-224-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E. CESAR CHAVEZ AVENUE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-268-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NU WAVE NDT INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NU WAVE NDT INC",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-20",
"status": "A",
"authorized_official_last_name": "BAENA",
"authorized_official_first_name": "ROCIO",
"authorized_official_title_or_position": "INTRAOPERATIVENEUROMONITORIST",
"authorized_official_telephone_number": "626-224-1287",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R. EEG., CNIM, BS"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1",
"identifier": "17001125572",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "17001125572",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.