Organization Active NPI

Surgical Neurophysiology LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Irvine, CA
National Provider Identifier
1790076446
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
SURGICAL NEUROPHYSIOLOGY LLC
Doing business as
Surgical Neurophysiology
Practice address
12 Mayapple Way
Irvine, CA 92612-2714
Phone
(714) 883-7945
NPI assigned
Apr 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Dr. Vahid Soltani, D.ABNMNPI 1184914467
Title
Ceo
Phone
(714) 883-7945

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)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

12 Mayapple Way
Irvine, CA 92612-2714

Mailing address

12 Mayapple Way
Irvine, CA 92612-2714
Phone (714) 883-7945

Other names 1

  • Surgical Neurophysiology Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1790076446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MAYAPPLE WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122714",
            "telephone_number": "714-883-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MAYAPPLE WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122714",
            "telephone_number": "714-883-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL NEUROPHYSIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "SOLTANI",
        "authorized_official_first_name": "VAHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-883-7945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.ABNM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Neurophysiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.