West Coast Neuro

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

WEST COAST NEURO

Practice address

3863 Sherwood PL
Sherman Oaks, CA 91423-4607

Phone

(310) 953-9759

Fax

(213) 785-8864

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Ryan FloresNPI 1861798811

Title

Ceo

Phone

(310) 953-9759

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 8

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

• Ha Son Nguyen, MD

  • Neurological Surgery Physician
  • Thousand Oaks, CA
  • NPI 1518256429
  Medicare reassignment NPD
• Ryan Flores

  • Electroneurodiagnostic Specialist/Technologist
  • Fort Collins, CO
  • NPI 1861798811
  NPD Authorized official
• Camilo A Balfour

  • Electroneurodiagnostic Specialist/Technologist
  • Sherman Oaks, CA
  • NPI 1285396523
  NPD
• Jonalyn Herce Decastro, IOM AND CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Sherman Oaks, CA
  • NPI 1316708597

  Single Specialty

  NPD
• Alina Sarukhanova, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Sherman Oaks, CA
  • NPI 1740908508

  Single Specialty

  NPD
• Jennifer Mariezehl Sy, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Sherman Oaks, CA
  • NPI 1164287538
  NPD
• Vincent Mattiello

  • Electroneurodiagnostic Specialist/Technologist
  • Marina del Rey, CA
  • NPI 1285123588
  NPD (past)
• Michael Ray Demarco

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Parker, CO
  • NPI 1205352929
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1942653258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103631",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911896020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 SHERWOOD PL",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234607",
            "telephone_number": "310-953-9759",
            "fax_number": "213-785-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST NEURO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-953-9759",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Welsch
• Maria Fernanda Welsh, BCBA
• Shelle Welty, PSY.D.
• Sharon Wermut, P.T.
• Kelsi Marie Werner
• West Coast Telemed LLC
• West Coast TMS Institute
• Adam West, PSYD
• Beth Wester
• Western Pacific Psychological Network Inc.

• Electroneurodiagnostic Specialist/Technologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Electroneurodiagnostic Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.