Green Flash Physician Oversight PC
Psychiatry & Neurology (Clinical Neurophysiology)

Address: 2868 Bayside Walk Unit C, San Diego, CA 92109-8119
Phone: 9172734092

Green Flash Physician Oversight PC (NPI# 1316560378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1316560378
Entity Type Organization
Practice Address 2868 Bayside Walk Unit C
San Diego
CA 92109-8119
Practice Telephone 9172734092
Mailing Address 198 Sussex Dr
NY 11030-3737
Mailing Telephone 1727340929
Authorized Official Name Dr. Joseph John Moreira (PESIDENT)
Authorized Official Telephone 9172734092
Authorized Official Credential MD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-26
Last Update Date 2020-05-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2084N0600X Psychiatry & Neurology · Clinical Neurophysiology Allopathic & Osteopathic Physicians

Secondary Practice Locations

Address Telephone Number Fax Number
319 Willis Ave Fl 2, Mineola, NY 115011510 9172734092

Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508932849 Gayle Ellen Hicks Psychiatry & Neurology 2815 Camino Del Rio South, Suite 220, San Diego, CA 92108 2006-11-28
1942386859 Alissa Ann Carnelian Psychiatry & Neurology 4227 Maryland St Apt 7, San Diego, CA 92103-2346 2006-10-31
1548603186 Dominic Alexander Ferrey I Psychiatry & Neurology 200 W Arbor Dr, San Diego, CA 92103 2013-04-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659994739 Jey Neuro Center, Inc Psychiatry & Neurology 2005 Eye Street #8-501, Bakersfield, CA 93301-4451 2020-05-22
1578116877 La Neuro Medical Group Psychiatry & Neurology 11843 Dorothy St Apt 2, Los Angeles, CA 90049-4456 2019-07-17
1518527613 Neuroguard Pro Psychiatry & Neurology 2932 N Cottonwood St Unit 16, Orange, CA 92865-1235 2019-06-19
1750857801 Tms Depression Center of San Diego Psychiatry & Neurology 613 W Valley Pkwy Ste 102, Escondido, CA 92025-2550 2018-10-16
1225530637 Iom Neuro Pro Reader Psychiatry & Neurology 9300 Santa Anita Ave, Suite 101, Rancho Cucamonga, CA 91730 2018-03-01
1780935130 Dawn Eliashiv Md Inc. A Professional Medical Corporation Psychiatry & Neurology 8635 W 3rd St Ste 1080w, Los Angeles, CA 90048-6183 2012-09-25
1740548866 Brian Ahuja Psychiatry & Neurology 1418 N Poinsettia Pl Apt 3, Los Angeles, CA 90046-8201 2012-04-26
1073821922 Yuvraj Singh Grewal Psychiatry & Neurology 23861 Mcbean Pkwy Ste A4, Santa Clarita, CA 91355-2003 2010-09-14
1952629263 Roger Bertoldi Md Professional Corporation Psychiatry & Neurology 8610 S. Sepulveda Blvd., Los Angeles, CA 90045 2010-05-11
1063686202 Mark E Vonzastrow Psychiatry & Neurology 600 16th St, N212e Genentech Hall / Ucsf, San Francisco, CA 94158-2517 2008-04-18
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Office Location

Street Address 2868 BAYSIDE WALK UNIT C
State CA
Zip Code 92109-8119

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538620786 San Diego Forensic Psychology Corporation Psychologist 4640 Cass Street, # 90422, San Diego, CA 92109 2019-03-29
1639677768 Local 92109 LLC Clinic/Center 1940 Garnet Ave Ste 120, San Diego, CA 92109 2018-01-23
1982113874 Holly Mansur Registered Nurse 3663 Jewell Street, San Diego, CA 92109 2017-09-24
1669906178 Kelley Ann Riley Prevention Professional 4328 Gresham St, San Diego, CA 92109 2017-04-12
1689113524 Tyler Marquis Pharmacist 2636 Grand Avenue Apartment 326, San Diego, CA 92109 2017-02-13
1912372574 Lonnie Butler Doula 841 Turquoise Street, F-405, San Diego, CA 92109 2015-12-08
1275924995 Pratima S. Gowdar, Dds, Inc Dentist 4655 Cass St. Ste 104, San Diego, CA 92109 2015-02-17
1417388562 Pacific Rim Pathology Medical Corporation Clinical Medical Laboratory 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 2013-11-27
1023379997 Eric Berquist Student in an Organized Health Care Education/Training Program 2009 Reed Ave, San Diego, CA 92109 2012-06-06
1982996724 Miramar Health Physicians Group Acupuncturist 1321 Garnet Avenue, San Diego, CA 92109 2011-05-12
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Zip Code 92109

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Dataset Information

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.