Active NPI
Corticare, Inc.
- Physiological Laboratory
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- CORTICARE, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Centennial Neurodiagnostics LLC
- Physiological Laboratory
- Dallas, TX
- NPI 1528588795
Member Of
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.
-
- Neurology Physician
- Arcadia, CA
- NPI 1700175312
-
- Neurology Physician
- Valencia, CA
- NPI 1538191507
-
- Neurological Surgery Physician
- Galveston, TX
- NPI 1053679019
-
- Neurology Physician
- Los Angeles, CA
- NPI 1578589727
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.