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SURGICAL NEUROMONITORING SERVICE INC
NPI 1063401461
Psychologist - Health Service in Santa Rosa, CA

Active since October 18, 2005
3005 SANTA MARGARITA CT, SANTA ROSA, CA 95405(707) 573-2341(707) 539-2939 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Surgical Neuromonitoring Service Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL NEUROMONITORING SERVICE INC (NPI 1063401461) is a healthcare organization registered as a health service in Santa Rosa, California and active in the NPI registry since October 2005. The organization lists Alex Amochaev, President, as its authorized official.

NPPES Registry Identity

NPI1063401461
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NameSURGICAL NEUROMONITORING SERVICE INC
Location Address3005 SANTA MARGARITA CTSanta Rosa, CA 95405-8205
Mailing Address3005 Santa Margarita CtSanta Rosa, CA 95405-8205 · (707) 573-2341 · Fax (707) 539-2939
Phone(707) 573-2341
Fax(707) 539-2939
Organization SubpartNo
Authorized OfficialAlex AmochaevPresident · (707) 573-2341
Enumeration DateOctober 18, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063401461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in CA · PSY12851
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
3005 SANTA MARGARITA CT, Santa Rosa, CA 95405
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Neuromonitoring Service Inc's NPI number?

The NPI number for Surgical Neuromonitoring Service Inc is 1063401461. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Surgical Neuromonitoring Service Inc located?

Surgical Neuromonitoring Service Inc is located at 3005 Santa Margarita Ct, Santa Rosa, CA 95405. The listed phone number is (707) 573-2341.

What is Surgical Neuromonitoring Service Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Surgical Neuromonitoring Service Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.