Neuro Medix Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEURO MEDIX INC

Practice address

9153 Wagner River Cir
Fountain Vly, CA 92708-6449

Phone

(281) 462-1285

NPI assigned

May 2, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Rose Newbury

Title

Divison Manager

Phone

(281) 462-1285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Dela Amoussou, M.D.

  • Neurology Physician
  • Nashville, TN
  • NPI 1639464431

  CA

  Medicare reassignment NPD
• Simon Afeef

  • Other Technician
  • Fountain Valley, CA
  • NPI 1013297407
  NPD (past)

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1891086310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321288",
            "telephone_number": "281-462-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9153 WAGNER RIVER CIR",
            "city": "FOUNTAIN VLY",
            "state": "CA",
            "postal_code": "927086449",
            "telephone_number": "281-462-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO MEDIX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "NEWBURY",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "DIVISON MANAGER",
        "authorized_official_telephone_number": "281-462-1285",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda S Borders
• Genesis Rodriguez
• Diana Tran-Kim, D.O.

• Specialist in Fountain Vly, CA
• Providers in Fountain Vly, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.