Organization Active NPI

Corticare, Inc.

  • Physiological Laboratory
  • Carlsbad, CA
National Provider Identifier
1972922714
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CORTICARE, INC.
Practice address
5901 Priestly Dr Ste 306
Carlsbad, CA 92008-8825
Phone
(888) 482-2334
Fax
(888) 482-2334
NPI assigned
Apr 9, 2014
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CORTICARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Mr. David Roe
Title
Ceo
Phone
(760) 270-9198

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary
EEG Specialist/Technologist 246ZE0500X NU
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU

Addresses

Primary practice location

5901 Priestly Dr Ste 306
Carlsbad, CA 92008-8825

Mailing address

5963 La Place CT Ste 309
Carlsbad, CA 92008-8823
Phone (888) 482-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140903001420 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7618195728 Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory
Part of
Corticare Wi

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

2237 Faraday Ave
Ste 120
Carlsbad, CA 92008
Phone 8884822334109

5901 Priestly Dr
Ste 306
Carlsbad, CA 92008

5950 La Place Ct
Ste 160
Carlsbad, CA 92008
Phone 8884822334109

5963 La Place Ct
Ste 309
Carlsbad, CA 92008

6120 Paseo del Norte
#H
Carlsbad, CA 92011

Practitioners & affiliated clinicians

Practitioners 4

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": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1972922714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 LA PLACE CT STE 309",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088823",
            "telephone_number": "888-482-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PRIESTLY DR STE 306",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088825",
            "telephone_number": "888-482-2334",
            "fax_number": "888-482-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTICARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORTICARE, INC.",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-270-9198",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

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