NPIMap

Organization Active NPI

Pacific Neurophysiological Systems

  • Electroneurodiagnostic Specialist/Technologist
  • San Francisco, CA
National Provider Identifier
1760880371
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
PACIFIC NEUROPHYSIOLOGICAL SYSTEMS
Practice address
2339 Irving St Ste 200
San Francisco, CA 94122-1620
Phone
(415) 221-1591
Fax
(415) 221-3274
NPI assigned
Dec 12, 2014
Last updated
Dec 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Dr. Charlotte M Moore, PHD., CCC-ANPI 1376758920
Title
Managing Member
Phone
(415) 221-1591

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

2339 Irving St Ste 200
San Francisco, CA 94122-1620

Mailing address

2339 Irving St Ste 200
San Francisco, CA 94122-1620
Phone (415) 221-1591

Other names 1

  • PNSLLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Pacific Neurophysiolgical Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2339 Irving St
#200
San Francisco, CA 94122
Phone (415) 221-1591

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1760880371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 IRVING ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221620",
            "telephone_number": "415-221-1591",
            "fax_number": "415-221-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 IRVING ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221620",
            "telephone_number": "415-221-1591",
            "fax_number": "415-221-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NEUROPHYSIOLOGICAL SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "415-221-1591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PNSLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.