FASTECH MOBILE EEG (NPI# 1265662563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265662563 |
Entity Type | Organization |
Organization Name | FASTECH MOBILE EEG |
Practice Address |
3154 El Tejon Road Cameron Park CA 95682-9108 |
Practice Telephone | 5304099607 |
Mailing Telephone | 5304099607 |
Enumeration Date | 2009-07-21 |
Last Update Date | 2009-07-21 |
Authorized Official Name | MRS. ROBERTA JEAN ESFANDIARFARD (E.EEG.T OWNER GENERAL PARTNER) |
Authorized Official Telephone | 5304099607 |
Authorized Official Credential | R.EEG.T |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
3154 EL TEJON ROAD |
City | CAMERON PARK |
State | CA |
Zip Code | 95682-9108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003225681 | Breanna Canclini | Occupational Therapist | 2690 Hillcrest Dr, Cameron Park, CA 95682 | 2014-08-07 |
1497030852 | Bullards Dialysis LLC | Clinic/Center | 3311 Coach Ln Ste C, Cameron Park, CA 95682 | 2011-10-18 |
1417265786 | George Waite Weilepp | Orthopaedic Surgery | 4880 Maggie Court, Shingle Springs, CA 95682 | 2010-09-20 |
1831417757 | Maisha Michelle Correia | Psychiatry & Neurology | 3581 Palmer Dr Ste 202, Cameron Park, CA 95682 | 2010-05-17 |
1043466212 | Richard Joseph Sommerdyke | Dentist | 4200 Mother Lode Dr, Suite A, Shingle Springs, CA 95682 | 2008-08-07 |
1912120189 | Robert L Catron | Dentist | 3350 Coach Ln, Cameron Park, CA 95682 | 2007-04-10 |
1154457083 | Leslie Joan Hill-sokol | Marriage & Family Therapist | 3330 Heights Dr Ste 120, Cameron Park, CA 95682 | 2007-02-26 |
1114082765 | Torrey R Hammond | Dentist | 970 Camerado Drive, Ste 100, Cameron Park, CA 95682 | 2006-12-26 |
1659431062 | Petrice Foxworthy | Chiropractor | 3370 Country Club Dr., Cameron Park, CA 95682 | 2006-12-08 |
1346310570 | Lorin G Farr | Chiropractor | 3091 Alhambra Dr, Ste A, Cameron Park, CA 95682 | 2006-11-08 |
Find all providers in zip 95682 |
Taxonomy Code | 246ZE0500X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | EEG |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861624959 | Roberta Jean Esfandiarfard | Specialist/Technologist, Other | 3154 El Tejon Rd, Cameron Park, CA 95682-9108 | 2009-08-22 |
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1598316259 | Glenn Scott Adriano Roldan | Specialist/Technologist, Other | 4220 Legacy Ct, Salida, CA 95368-9758 | 2019-09-24 |
1649655143 | Brain Science Technologies Inc | Specialist/Technologist, Other | 4482 Barranca Pkwy Ste 240, Irvine, CA 92604-4770 | 2015-07-25 |
1972922714 | Corticare, Inc. | Specialist/Technologist, Other | 5950 La Place Ct Ste 160, Carlsbad, CA 92008-8831 | 2014-04-09 |
1194015354 | Matthew R Conley | Specialist/Technologist, Other | 2945 Townsgate Rd, Suite 200, Westlake Village, CA 91361-5803 | 2011-04-08 |
1356643449 | Elite Neurodiagnostics Inc. | Specialist/Technologist, Other | 5727 W Avenue K2, Lancaster, CA 93536-5647 | 2010-11-23 |
1568954584 | South Bay Sleep Center LLC | Specialist/Technologist, Other | 21515 Hawthorne Blvd Ste 200, Torrance, CA 90503-6512 | 2018-06-05 |
1497138689 | Brad Levy | Specialist/Technologist, Other | 4482 Barranca Pkwy, Suite #240, Irvine, CA 92604-7701 | 2015-07-07 |
1427327956 | Jonathan F Harris | Specialist/Technologist, Other | 1900 Point West Way, Optimal Neurofeedback Suite 144, Sacramento, CA 95815-4705 | 2011-12-29 |
1184914467 | Vahid Soltani | Specialist/Technologist, Other | 17100 Euclid St, Fountain Valley, CA 92708-4004 | 2011-04-08 |
Find all providers with the same taxonomy |
City | CAMERON PARK |
Zip Code | 95682 |
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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.