PACIFIC NEUROPHYSIOLOGISTS LLC (NPI# 1205318128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205318128 |
| Entity Type | Organization |
| Organization Name | PACIFIC NEUROPHYSIOLOGISTS LLC |
| Other Organization Name | PACIFIC NEUROPHYSIOLOGISTS |
| Practice Address |
2105 Forest Ave San Jose CA 95128-9512 |
| Mailing Address |
Po Box 320171 Los Gatos CA 95032-0102 |
| Practice Telephone | 4082180672 |
| Mailing Telephone | 4082180672 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | DR. GEOFFREY A BUSH (PARTNER) |
| Authorized Official Telephone | 4082180672 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pacific Neurophysiologists | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC NEUROPHYSIOLOGISTS LLC | 15218 Clydelle Ave, San Jose, CA 95124 |
| Street Address |
2105 FOREST AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-9512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760475321 | Mrimaging of California, A Medical Corporation | Radiology | 2105 Forest Ave, Ste M, San Jose, CA 95128-1425 | 2005-08-29 |
| 1821602541 | Holly Maureen Milligan | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2020-09-01 |
| 1447724646 | County of Santa Clara | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2019-01-22 |
| 1356813240 | Lyle Mroz | Pharmacist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-12-18 |
| 1467921247 | O'connor Hospital | General Acute Care Hospital | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-11-21 |
| 1821565755 | Thuy Nhu Tran | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-10-29 |
| 1306311576 | Emergency Physicians Associates San Jose PC | Emergency Medicine | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-10-03 |
| 1013492685 | Ryan Kar | Perfusionist | 2105 Forest Ave, San Jose, CA 95128-1471 | 2018-09-30 |
| 1952809808 | Anya Marie Milrod Holmquist | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2018-01-25 |
| 1063922771 | Anthony Ellis | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2017-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 204R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Electrodiagnostic Medicine |
| Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics. |
| Notes: Source: American Association of Neuromuscular & Electrodiagnostic Medicine, 2011. www.aanem.org [1/1/2011: new] Additional Resources: American Board of Electrodiagnostic Medicine, 2011. www.abemexam.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561622 | Redwood Medical, PC | Electrodiagnostic Medicine | 2785 Pacific Coast Hwy Ste E-364, Torrance, CA 90505-7066 | 2019-04-29 |
| 1144782251 | Exclusive Diagnostic Services | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd Ste D, San Fernando, CA 91340-3960 | 2019-04-05 |
| 1972096170 | Pinnacle Orthopedic Associates | Electrodiagnostic Medicine | 4730 Marine Ave, Lawndale, CA 90260-1247 | 2018-06-12 |
| 1992292965 | Downriver, PC | Electrodiagnostic Medicine | 3906 Edgevale Ct, Fair Oaks, CA 95628-7612 | 2018-04-16 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1326552787 | Pacific Neurodiagnostics LLC | Electrodiagnostic Medicine | 650 California St Fl 7, San Francisco, CA 94108-2737 | 2017-11-21 |
| 1003166372 | Ion, LLC | Electrodiagnostic Medicine | 951 Country Lane, Walnut Creek, CA 94596-6143 | 2012-09-14 |
| 1609132448 | J Puangco M.d., Inc. | Electrodiagnostic Medicine | 21932 Annette Ave, Lake Forest, CA 92630-1811 | 2012-04-05 |
| 1598379364 | Slatedm Neuro, PC | Electrodiagnostic Medicine | 23961 Calle De La Magdalena Ste 504, Laguna Hills, CA 92653-3665 | 2020-08-31 |
| 1043721103 | Andrew Schreiber Neuro Monitoring | Electrodiagnostic Medicine | 4728 Marine Ave, Lawndale, CA 90260-1247 | 2017-10-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.