CALIFORNIA NEUROMEDICAL SERVICES (NPI# 1043456742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043456742 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA NEUROMEDICAL SERVICES |
| Practice Address |
301 N Prairie Ave Ste.315 Inglewood CA 90301-4507 |
| Mailing Address |
511 Brookside Ave Ste. 102 Redlands CA 92373-4611 |
| Practice Telephone | 3106800304 |
| Practice Fax Number | 3106800305 |
| Mailing Telephone | 9095578727 |
| Mailing Fax Number | 9093358514 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | ROSABEL R YOUNG (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3104282244 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
G64157 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | P00011946 | 01 |
| CA | BLUE SHIELD | 000G641570 | 01 |
| CA | RAILROAD MEDICARE | RR1022 | 01 |
| CA | 00G641570 | 05 | |
| CA | OWCP | 180519600 | 01 |
| Street Address |
301 N PRAIRIE AVE STE.315 |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750495628 | Jehan Zeb Mir | Surgery | 301 N Prairie Ave, 120, Inglewood, CA 90301-4507 | 2006-08-18 |
| 1386295939 | Reyna Cecilia Leon | Behavioral Analyst | 301 N Prairie Ave, Inglewood, CA 90301-4507 | 2019-09-25 |
| 1225689714 | Victor Alejandro Noh | Assistant Behavior Analyst | 301 N Prairie Ave, Inglewood, CA 90301-4507 | 2019-09-25 |
| 1346891868 | Briseida Ivett Sibrian | Behavioral Analyst | 301 N Prairie Ave, Inglewood, CA 90301-4507 | 2019-09-25 |
| 1750932422 | Hayde Jocelyn Robles | Behavioral Analyst | 301 N Prairie Ave, Inglewood, CA 90301-4507 | 2019-09-24 |
| 1710537006 | Mark Anthony Minera | Behavioral Analyst | 301 N Prairie Ave, Inglewood, CA 90301-4507 | 2019-09-18 |
| 1073055570 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 301 N Prairie Ave, Suite #201, Inglewood, CA 90301-4507 | 2016-11-15 |
| 1154690121 | Onate Care Center | Clinic/Center | 301 N Prairie Ave, Suite 501, Inglewood, CA 90301-4507 | 2011-12-21 |
| 1346525912 | Mission City Community Network, Inc | Clinic/Center | 301 N Prairie Ave, 311, Inglewood, CA 90301-4507 | 2011-10-14 |
| 1437394780 | Gia Radiology | Physiological Laboratory | 301 N Prairie Ave, #125, Inglewood, CA 90301-4507 | 2008-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| 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. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560378 | Green Flash Physician Oversight PC | Psychiatry & Neurology | 2868 Bayside Walk Unit C, San Diego, CA 92109-8119 | 2020-05-26 |
| 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 |
| 1437579851 | Sami Bajwa | Psychiatry & Neurology | 7240 N Van Ness Blvd, Fresno, CA 93711-0470 | 2014-04-24 |
| 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 |
| 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 |
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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.