Organization Active NPI

Omneuron Inc

Doing business as 3T MRI of Menlo Atherton

  • Physiological Laboratory
  • Menlo Park, CA
National Provider Identifier
1750338836
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
OMNEURON INC
Doing business as
3T MRI of Menlo Atherton
Practice address
99 El Camino Real
Menlo Park, CA 94025-5232
Phone
(650) 327-1121
Fax
(650) 327-1122
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher Decharms
Title
President, Ceo
Phone
(602) 327-1121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

99 El Camino Real
Menlo Park, CA 94025-5232

Mailing address

99 El Camino Real
Menlo Park, CA 94025-5232
Phone (650) 327-1121

Other names 1

  • 3T MRI of Menlo Atherton Doing business as

National Provider Directory

National Provider Directory

Locations

99 El Camino Real
Menlo Park, CA 94025
Phone (510) 865-9670

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750338836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255232",
            "telephone_number": "650-327-1121",
            "fax_number": "650-327-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 EL CAMINO REAL",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255232",
            "telephone_number": "650-327-1121",
            "fax_number": "650-327-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNEURON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECHARMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "602-327-1121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3T MRI of Menlo Atherton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.