Alissa Ann Carnelian, MS

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

AU2270 Issued in CA

Practice address

4227 Maryland St Apt 7
San Diego, CA 92103-2346

Phone

(520) 955-0016

Fax

(877) 240-8624

NPI assigned

Oct 31, 2006

Last updated

Sep 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alissa Ann Glockner Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurosound IncGroup PAC ID 3577864974, 7 clinicians

Satellite Medical LLCGroup PAC ID 6406184811, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424
• Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503
• Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acarnelian80831@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurosound, Inc.

  • Specialist
  • San Diego, CA
  • NPI 1346647153
  Medicare reassignment Care Compare group NPD
• Satellite Medical LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Folsom, CA
  • NPI 1184191256
  Medicare reassignment Care Compare group NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Satellite Medical Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Folsom, CA
  • NPI 1639765670

  Clinical Neurophysiology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scripps Health

  dba Scripps Memorial Hospital Encinitas

  • General Acute Care Hospital
  • Encinitas, CA
  • NPI 1700829199
  Care Compare affiliation
• Scripps Health

  dba Scripps Green Hospital

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841233780
  Care Compare affiliation
• Scripps Health

  dba Scripps Memorial Hospital La Jolla

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  Care Compare affiliation

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1942386859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 MARYLAND ST APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032346",
            "telephone_number": "520-955-0016",
            "fax_number": "877-240-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MARYLAND ST APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032346",
            "telephone_number": "520-955-0016",
            "fax_number": "877-240-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNELIAN",
        "first_name": "ALISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "AU2270",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "GLOCKNER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Lynne Carnagey
• Carnation Speech Therapy Inc.
• Alexandria Carnavos
• Anna Alexandra Carnegie
• Douglas Carneiro, SFIDC
• Steven John Carner
• Ladd Carnessale
• Katherine Ann Carneval
• Joseph Robert Carney, M.D.
• Michelle Carney

• Clinical Neurophysiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Neurophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.