Organization Active NPI

Mobile Monitoring, Inc.

  • Electroneurodiagnostic Specialist/Technologist
  • Tustin, CA
National Provider Identifier
1700048824
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
MOBILE MONITORING, INC.
Practice address
17602 17TH St
Suite#102 PMB#224
Tustin, CA 92780-1961
Phone
(949) 751-9790
Fax
(714) 838-9195
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Ms. Andrea Irene Rought, R. EEG. T
Title
Owner
Phone
(949) 751-9790

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary
Ambulatory Surgical Clinic/Center 261QA1903X 2975 CA
General Acute Care Hospital 282N00000X 2975 CA

Addresses

Primary practice location

17602 17TH St
Suite#102 PMB#224
Tustin, CA 92780-1961

Mailing address

17602 17TH St
Suite#102 PMB#224
Tustin, CA 92780-1961
Phone (949) 751-9790

National Provider Directory

National Provider Directory

Locations

17602 17th St
Ste 102
Tustin, CA 92780
Phone (949) 385-1644

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1700048824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17602 17TH ST",
            "address_2": "SUITE#102 PMB#224",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801961",
            "telephone_number": "949-751-9790",
            "fax_number": "714-838-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17602 17TH ST",
            "address_2": "SUITE#102 PMB#224",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801961",
            "telephone_number": "949-751-9790",
            "fax_number": "714-838-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MONITORING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "ROUGHT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-751-9790",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R. EEG. T"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "2975",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "2975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.