Professional Neuromonitoring Corporation

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

A91259 Issued in CA

Legal business name

PROFESSIONAL NEUROMONITORING CORPORATION

Practice address

460 Goddard
Irvine, CA 92618-4610

Phone

(949) 336-5112

Fax

(949) 336-5113

NPI assigned

Jun 2, 2014

Last updated

Feb 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dhiraj Raj Jeyanandarajan, MD

Title

Ceo

Phone

(949) 336-5112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1821400383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 GODDARD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184610",
            "telephone_number": "949-336-5112",
            "fax_number": "949-336-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GODDARD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184610",
            "telephone_number": "949-336-5112",
            "fax_number": "949-336-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL NEUROMONITORING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "JEYANANDARAJAN",
        "authorized_official_first_name": "DHIRAJ",
        "authorized_official_middle_name": "RAJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-336-5112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A91259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Irvine, CA
• Providers in Irvine, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.