Taproot Network Inc.

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

TAPROOT NETWORK INC.

Practice address

8950 Villa la Jolla Dr Ste C117
La Jolla, CA 92037-1707

Phone

(858) 997-0235

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

Kim Huynh, M.S.NPI 1346876505

Title

Ceo

Phone

(858) 997-7415

Specialties & licenses 1

Addresses

Other names 1

• Neuroplastree Doing business as

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Anthony Anzaldua, M.D.

  • Family Medicine Physician
  • Santa Clara, CA
  • NPI 1699822346
  Medicare reassignment NPD
• Larry Rivera Lazaro, M.D.

  • Internal Medicine Physician
  • Iron Mountain, MI
  • NPI 1568449007

  TX

  Medicare reassignment NPD
• Kim Huynh, M.S.

  • Electroneurodiagnostic Specialist/Technologist
  • San Diego, CA
  • NPI 1346876505

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1780328104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 MEADOW LARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233316",
            "telephone_number": "858-997-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C117",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371707",
            "telephone_number": "858-997-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Barranca Pkwy # 1801",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926065018",
            "country_code": "US",
            "telephone_number": "858-997-0235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11801 Domain Blvd # B141",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787583429",
            "country_code": "US",
            "telephone_number": "512-877-7624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAPROOT NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-997-7415",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuroplastree",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neuroplastree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanna Vanessa Tannenbaum, PSY.D.
• Eduardo Tanori, NP
• Truc Tao
• Maria T Tapp
• Leakhena Heng Tappero, PH.D.
• Danica Tarabanovic
• Maryam Tarsa, M.D.
• Pam Rajendran Taub, MD
• Wendy G Tayer, PHD
• Ashley Ann Taylor, PT, DPT

• Other Specialist/Technologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.