Active NPI
West Wave Neurodiagnostics LLC
- Technician/Technologist
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Legal business name
- WEST WAVE NEURODIAGNOSTICS LLC
- Practice address
- 937 E Main St Ste 107
Santa Maria, CA 93454-5309 - Phone
- (805) 357-5272
- Fax
- (805) 308-7107
- NPI assigned
- Jan 22, 2021
- Last updated
- May 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Jewel Morrow, R.EEGT
- Title
- Owner, Registered Eeg Technologist
- Phone
- (805) 540-1160
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | NU | Primary |
Addresses
Primary practice location
937 E Main St Ste 107
Santa Maria, CA 93454-5309
Mailing address
937 E Main St Ste 107
Santa Maria, CA 93454-5309
Phone (805) 357-5272
Other practice location 1
466 Cory Ct
Santa Maria, CA 93455-5525
Phone (805) 540-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EIN | Other | CA | THE EIN FOR THIS COMPANY WAS NOT BY MEDICARE. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220826002176 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2567846421 | Practice locations: Santa Maria, CA |
National Provider Directory
National Provider DirectoryLocations
937 E Main St
Ste 107
Santa Maria, CA 93454
Phone (805) 357-5272
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1922698091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 E MAIN ST STE 107",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545309",
"telephone_number": "805-357-5272",
"fax_number": "805-308-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 E MAIN ST STE 107",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545309",
"telephone_number": "805-357-5272",
"fax_number": "805-308-7107"
}
],
"practiceLocations": [
{
"address_1": "466 Cory Ct",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934555525",
"country_code": "US",
"telephone_number": "805-540-1160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WEST WAVE NEURODIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-22",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A",
"authorized_official_last_name": "MORROW",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "JEWEL",
"authorized_official_title_or_position": "OWNER, REGISTERED EEG TECHNOLOGIST",
"authorized_official_telephone_number": "805-540-1160",
"authorized_official_credential": "R.EEGT"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE EIN FOR THIS COMPANY WAS NOT BY MEDICARE.",
"identifier": "EIN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.