SOUTHERN CALIFORNIA HEAD PAIN AND NEUROLOGIC INSTITUTE INC (NPI# 1003847435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003847435 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA HEAD PAIN AND NEUROLOGIC INSTITUTE INC |
| Practice Address |
3555 Loma Vista Rd #115 Ventura CA 93003-3161 |
| Mailing Address |
3555 Loma Vista Rd Ste 115 Ventura CA 93003-3161 |
| Practice Telephone | 8056483158 |
| Practice Fax Number | 8056482997 |
| Mailing Telephone | 8056483158 |
| Mailing Fax Number | 8056482997 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | DR. SCOT J RICHARDSON (OWNER) |
| Authorized Official Telephone | 8056483158 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A60878 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | A60878 | 01 |
| CA | MEDICARE PTAN | W19218 | 01 |
| Street Address |
3555 LOMA VISTA RD #115 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770584484 | Michael Hugh Bailey | Family Medicine | 3555 Loma Vista Rd, Suite 110, Ventura, CA 93003-3161 | 2005-08-03 |
| 1780861443 | Brian D. Brantner, M.d. A Professional Corporation | Clinic/Center | 3555 Loma Vista Rd, Suite 200, Ventura, CA 93003-3161 | 2008-01-24 |
| 1003099110 | Gregory Lawrence Meier | Dentist | 3555 Loma Vista Rd, Suite #217, Ventura, CA 93003-3161 | 2007-12-12 |
| 1285784132 | Ventura Outpatient Surgery, Inc. | Clinic/Center | 3555 Loma Vista Rd, Suite 204, Ventura, CA 93003-3161 | 2007-01-11 |
| 1568533776 | Alexander G. Namikas | Dentist | 3555 Loma Vista Rd, Suite 210, Ventura, CA 93003-3161 | 2006-11-10 |
| 1457465072 | Sue C Houx | Nurse Practitioner | 3555 Loma Vista Rd, Ventura, CA 93003-3161 | 2006-08-19 |
| 1912921685 | Carolyn F Chase | Family Medicine | 3555 Loma Vista Rd, Suite 110, Ventura, CA 93003-3161 | 2006-07-27 |
| 1538183116 | Edward Jacob Banman | Family Medicine | 3555 Loma Vista Rd, Suite 110, Ventura, CA 93003-3161 | 2006-07-27 |
| 1417970849 | Primary Medical Group of Ventura County Inc | Clinic/Center | 3555 Loma Vista Rd, #110, Ventura, CA 93003-3161 | 2006-07-26 |
| 1942239579 | Laura Harman | Family Medicine | 3555 Loma Vista Rd, Suite 110, Ventura, CA 93003-3161 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669648697 | Robert J Shorr Md Medical Corp | Psychiatry & Neurology | 2781 Loma Vista Rd Ste B, Ventura, CA 93003-1577 | 2008-04-30 |
| 1053486514 | Jeffrey A Leonard | Psychiatry & Neurology | 2833 Loma Vista Road, Ventura, CA 93003 | 2006-11-21 |
| 1205245495 | Bstmd, Incorporated | Psychiatry & Neurology | 3585 Maple St, Suite # 205, Ventura, CA 93003-3504 | 2014-08-13 |
| 1184986770 | Ali Omar Maamar-tayeb | Psychiatry & Neurology | 300 Hillmont Ave, Ventura, CA 93003-1651 | 2012-06-11 |
| 1194015305 | Russell Thomas Powell | Psychiatry & Neurology | 300 Hillmont Ave, Ventura, CA 93003-1651 | 2011-04-10 |
| 1427228956 | Safwan Alboiny | Psychiatry & Neurology | 120 N Ashwood Ave, Ventura, CA 93003-1810 | 2008-03-12 |
| 1548443138 | Jeffrey A Leonard Md | Psychiatry & Neurology | 2833 Loma Vista Road, Ventura, CA 93003 | 2007-12-06 |
| 1366625964 | Albert E Amorteguy Md | Psychiatry & Neurology | 2833 Loma Vista Road, Ventura, CA 93003 | 2007-12-06 |
| 1528133089 | James Timothy Sheehy | Psychiatry & Neurology | 2833 Loma Vista Road, Ventura, CA 93003 | 2006-11-21 |
| 1437224995 | Albert E Amorteguy | Psychiatry & Neurology | 2833 Loma Vista Road, Ventura, CA 93003 | 2006-11-21 |
| Find all providers in VENTURA | ||||
Please comment or provide details below to improve the information on SOUTHERN CALIFORNIA HEAD PAIN AND NEUROLOGIC INSTITUTE INC.
| 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.