CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC (NPI# 1033653571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033653571 |
| Entity Type | Organization |
| Organization Name | CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC |
| Practice Address |
5800 Stanford Ranch Rd Building 800 Rocklin CA 95765-4387 |
| Practice Telephone | 9168368500 |
| Practice Fax Number | 9167582924 |
| Mailing Telephone | 9168368500 |
| Mailing Fax Number | 9167582924 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | ASHUTOSH RAINA (OWNER) |
| Authorized Official Telephone | 9168365800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
5800 STANFORD RANCH RD BUILDING 800 |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95765-4387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578636338 | Clifford Thomas Wong | Dentist | 5800 Stanford Ranch Rd, Suite 620, Rocklin, CA 95765-4385 | 2006-11-17 |
| 1114355914 | Staci Spears | Massage Therapist | 5800 Stanford Ranch Rd, Suite 610, Rocklin, CA 95765-4385 | 2013-10-15 |
| 1659705036 | Isaac Richard Veloz | Massage Therapist | 5800 Stanford Ranch Rd, #610, Rocklin, CA 95765-4385 | 2013-08-21 |
| 1578850152 | Jason A Scorza | Dentist | 5800 Stanford Ranch Rd, Suite 110, Rocklin, CA 95765-4385 | 2011-07-05 |
| 1386931863 | Heather R Scorza | Dentist | 5800 Stanford Ranch Rd, Suite 110, Rocklin, CA 95765-4385 | 2011-07-05 |
| 1477787794 | Ashutosh Raina | Pediatrics | 5800 Stanford Ranch Rd, Bldg 800, Rocklin, CA 95765-4385 | 2009-05-14 |
| 1528209491 | Andrea M. Riordan | Dentist | 5800 Stanford Ranch Rd, Rocklin, CA 95765-4385 | 2009-03-23 |
| 1861514218 | Allen James Sanders | Dentist | 5800 Stanford Ranch Rd, Suite 520, Rocklin, CA 95765-4385 | 2007-04-05 |
| 1942338819 | Kelly Jay Wilson | Dentist | 5800 Stanford Ranch Rd, Bldg #900, Rocklin, CA 95765-4385 | 2007-03-01 |
| 1679646400 | Jason A. Scorza, D.d.s. and Heather R. Smith, D.d.s., A.d.c. | Dentist | 5800 Stanford Ranch Rd, Suite # 110, Rocklin, CA 95765-4385 | 2006-11-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537760 | Kristine Reymont | Case Manager/Care Coordinator | 2717 Fleet Circle, Rocklin, CA 95765 | 2018-08-08 |
| 1275063877 | Alicia Marie Yost-cardoza | Registered Nurse | 6459 Cormorant Cir, Rocklin, CA 95765 | 2017-06-15 |
| 1457769457 | Jacob Dean Kelly | Dentist | 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 | 2014-07-23 |
| 1124438270 | Denise L. Buchholz | Physical Therapist | 1924 Mckinley St, Rocklin, CA 95765 | 2014-04-29 |
| 1205198926 | Gay Lee Wilhelm | Registered Nurse | 5508 Rye Court, Rocklin, CA 95765 | 2012-06-08 |
| 1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1790986057 | Rebound Rehab Physical Therapy, Inc. | Physical Therapist | 6526 Lonetree Blvd, Rocklin, CA 95765 | 2007-05-31 |
| 1184838351 | Darce Aaron Slate | Dentist | 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 | 2007-05-09 |
| Find all providers in zip 95765 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797937 | A Fine Balance | Psychiatry & Neurology | 4200 Scotts Valley Dr Ste E, Scotts Valley, CA 95066-4539 | 2018-10-30 |
| 1619321791 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 16300 Sand Canyon Ave Ste 488, Irvine, CA 92618-3711 | 2016-04-14 |
| 1811381882 | Sinifunanya Nwaobi | Psychiatry & Neurology | 100 Ucla Medical Plaza Suite 245, Los Angeles, CA 90095-7419 | 2015-03-26 |
| 1366857260 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 26800 Crown Valley Pkwy Ste 510, Mission Viejo, CA 92691-8028 | 2014-06-30 |
| 1316387830 | Melissa Przeklasa Auth Md Professional Corporation | Psychiatry & Neurology | 30131 Town Center Dr Ste 195, Laguna Niguel, CA 92677-2040 | 2013-06-28 |
| 1538432463 | Joao Siffert | Psychiatry & Neurology | 18277 Via Ascenso, Rancho Santa Fe, CA 92067-2802 | 2012-02-23 |
| 1396043006 | Peter Himber | Psychiatry & Neurology | 1525 North Tustin Avenue, Santa Ana, CA 92705 | 2011-03-03 |
| 1902123060 | Danilo Reyes Bernardo Jr. | Psychiatry & Neurology | 10833 Le Conte Ave Ste 22-474, Los Angeles, CA 90095-4221 | 2010-04-29 |
| 1497071799 | Jennifer Lynn Martelle Tu | Psychiatry & Neurology | 744 52nd St Fl 5, Oakland, CA 94609-1810 | 2010-04-12 |
| 1912231705 | Audrey Christine Brumback | Psychiatry & Neurology | Ucsf Dept of Neurology 505 Parnassus Ave, Room M798, Box 0114, San Francisco, CA 94143-0001 | 2009-09-25 |
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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.