Advanced Brain Monitoring, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCED BRAIN MONITORING, INC.

Practice address

2237 Faraday Ave.
Ste 100
Carlsbad, CA 92008

Phone

(760) 720-0099

Fax

(760) 476-3620

NPI assigned

Jun 9, 2005

Last updated

May 6, 2016By 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

Mr. Daniel Jerome Levendowski, MBA

Title

President

Phone

(760) 720-0099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1912901778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 FARADAY AVE.",
            "address_2": "STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "760-720-0099",
            "fax_number": "760-476-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2237 FARADAY AVE.",
            "address_2": "STE 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "92008",
            "telephone_number": "760-720-0099",
            "fax_number": "760-476-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BRAIN MONITORING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "LEVENDOWSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-720-0099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.