ELITE NEUROLOGY OF ORANGE COUNTY, INC. (NPI# 1083019830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083019830 |
| Entity Type | Organization |
| Organization Name | ELITE NEUROLOGY OF ORANGE COUNTY, INC. |
| Other Organization Name | ELITE NEUROLOGY OF ORANGE COUNTY |
| Practice Address |
2617 E Chapman Ave Ste 307 Orange CA 92869-3225 |
| Mailing Address |
6765 Westminster Blvd Ste C408 Westminster CA 92683-3769 |
| Practice Telephone | 7142020218 |
| Mailing Telephone | 7142020218 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | JOHN W CHEN (PRESIDENT) |
| Authorized Official Telephone | 7142020218 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G81195 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NPI | 1083019830 | 01 |
| CA | NPI | 1841210846 | 01 |
| CA | MEDICAL BOARD OF CA | G81195 | 01 |
| Other Name | Type Code |
|---|---|
| Elite Neurology of Orange County | Doing Business As Name - Organization |
| Street Address |
2617 E CHAPMAN AVE STE 307 |
| City | ORANGE |
| State | CA |
| Zip Code | 92869-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841210846 | John W Chen | Psychiatry & Neurology | 2617 E Chapman Ave Ste 307, Orange, CA 92869-3225 | 2006-07-20 |
| 1457373094 | Arash Mahdavi | Surgery | 2617 E Chapman Ave Ste 307, Orange, CA 92869-3225 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790346401 | Artistic Smiles Dentistry | Clinic/Center | 2606 E. Chapman Ave., Orange, CA 92869 | 2019-06-24 |
| 1093233215 | Christine Wright | Physical Therapist | 406 S. Schug St, Orange, CA 92869 | 2017-09-07 |
| 1972025534 | Theresa M. Nakagawa | Marriage & Family Therapist | 7926 E. Deerfield Ln, Orange, CA 92869 | 2017-07-14 |
| 1679955801 | Lisa Moore | Nurse Anesthetist, Certified Registered | 1481 Meads, Orange, CA 92869 | 2015-06-24 |
| 1679960165 | Matthew Rivera | Specialist/Technologist | 360 N Rancho Santiago Blvd, Orange, CA 92869 | 2015-04-22 |
| 1780014183 | Sanaz Shahbandi | Dentist | 6449 East Saint Germain Cir., Orange, CA 92869 | 2013-11-21 |
| 1285973727 | Howard Leonard Rothfeder | Ophthalmology | 1567 Willow Wood Circle, Orange, CA 92869 | 2013-02-04 |
| 1730462409 | Luke Meier | Psychologist | 148 N Mine Canyon Rd Unit E, Orange, CA 92869 | 2011-09-20 |
| 1275825150 | S. La Verne Eng | Obstetrics & Gynecology | 351 Merelet Ln, Orange, CA 92869 | 2011-05-10 |
| 1497047757 | Eui San Cha | Internal Medicine | 2501 E Chapman Ave Ste 300, Orange, CA 92869 | 2011-05-05 |
| Find all providers in zip 92869 | ||||
| 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 |
|---|---|---|---|---|
| 1881126258 | Nita Chen | Psychiatry & Neurology | 200 S Manchester Ave Ste 206, Orange, CA 92868-3226 | 2017-04-03 |
| 1235494089 | Manisha Kak Korb | Psychiatry & Neurology | 200 S Manchester Ave Ste 110, Orange, CA 92868-3214 | 2012-07-09 |
| 1730418146 | Szofia S. Bullain | Psychiatry & Neurology | 101 The City Dr S Bldg 53, Uci Medical Center - Department of Neurology, Orange, CA 92868-3201 | 2009-12-14 |
| 1821229584 | Yoon Jae Choi | Psychiatry & Neurology | 100 The City Dr S Ste 107, Orange, CA 92868-3204 | 2009-07-29 |
| 1992824601 | Robert Walter Soll | Psychiatry & Neurology | 16701 Days Bridge Rd, Orange, VA 22960-9105 | 2007-03-27 |
| 1225104193 | Wengui Yu | Psychiatry & Neurology | 200 S Manchester Ave # 206e, Orange, CA 92868-3217 | 2006-11-24 |
| 1356421515 | Tahseen Mozaffar | Psychiatry & Neurology | 200 S. Manchester Avenue Ste. 110, Uci Medical Center, Orange, CA 92868 | 2006-10-16 |
| 1841210846 | John W Chen | Psychiatry & Neurology | 2617 E Chapman Ave Ste 307, Orange, CA 92869-3225 | 2006-07-20 |
| 1336116904 | Namita Goyal | Psychiatry & Neurology | 200 S Manchester Ave, 110, Orange, CA 92868-3217 | 2006-03-02 |
| 1750369377 | David Anthony Lombardi | Psychiatry & Neurology | 1467 N Wanda Rd, #165, Orange, CA 92867-5328 | 2006-01-04 |
| Find all providers in ORANGE | ||||
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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.