Active NPI
Gamma Neuro Diagnostics Inc
- Clinical Neurophysiology Physician
- Newport Beach, CA
National Provider Identifier
1932085305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- GAMMA NEURO DIAGNOSTICS INC
- Practice address
- 510 Superior Ave Ste 200a
Newport Beach, CA 92663-3664 - Phone
- (949) 764-8430
- Fax
- (310) 691-1394
- NPI assigned
- Aug 12, 2025
- 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
- Daniel Vitantonio
- Title
- President
- Phone
- (310) 923-1437
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 |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | Primary |
Addresses
Primary practice location
510 Superior Ave Ste 200a
Newport Beach, CA 92663-3664
Mailing address
PO Box 2277
Venice, CA 90294-2277
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neurophysiology Physician
- Marina del Rey, CA
- NPI 1083024145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1932085305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2277",
"city": "VENICE",
"state": "CA",
"postal_code": "902942277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SUPERIOR AVE STE 200A",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633664",
"telephone_number": "949-764-8430",
"fax_number": "310-691-1394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMMA NEURO DIAGNOSTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-12",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "VITANTONIO",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-923-1437"
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.