SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC. (NPI# 1407236466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407236466 |
| Entity Type | Organization |
| Organization Name | SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC. |
| Other Organization Name | SOUTHERN CALIFORNIA NEUROLOGY CONSULTANTS |
| Practice Address |
416 E Colorado St Ste A Glendale CA 91205-5100 |
| Mailing Address |
416 E. Glendale St., Suite A Glendale CA 91205-5100 |
| Practice Telephone | 6265359344 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | DR. YAFA MINAZAD (CEO) |
| Authorized Official Telephone | 6265359344 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN CALIFORNIA NEUROLOGY CONSULTANTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern California Neurology Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639461825 | Southern California Neurology Medical Group, Inc. | Psychiatry & Neurology | 625 S Fair Oaks Ave, Suite 325, Pasadena, CA 91105-2613 | 2011-05-06 |
| Street Address |
416 E COLORADO ST STE A |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407371081 | Vahe Akopian Md Inc | Psychiatry & Neurology | 416 E Colorado St Ste A, Glendale, CA 91205-5100 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| 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 |
|---|---|---|---|---|
| 1649519588 | Vahe Akopian | Psychiatry & Neurology | 1451 E Chevy Chase Dr Ste 201, Glendale, CA 91206 | 2013-02-13 |
| 1902063837 | Maya Vaysbrot | Psychiatry & Neurology | 20325 N. 51st. Ave., Suite 160, Glendale, AZ 85308-4622 | 2008-05-19 |
| 1174638811 | Taufiq M Azamy | Psychiatry & Neurology | 88-66 Myrtle Ave, Glendale, NY 11385 | 2006-08-21 |
| 1609889948 | Naveed Vehra | Psychiatry & Neurology | 18275 N 59th Ave Bldg H146, Glendale, AZ 85308-1260 | 2006-08-15 |
| 1932118262 | Robert Michael Hutchman | Psychiatry & Neurology | 517 E Wilson Ave Ste 103b, Glendale, CA 91206-4376 | 2006-08-05 |
| 1720041114 | Michael A Epstein | Psychiatry & Neurology | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2006-04-08 |
| 1275528713 | Mohamed Elkotb | Psychiatry & Neurology | 5130 W Thunderbird Rd, Suite 03, Glendale, AZ 85306-4879 | 2005-09-12 |
| 1891348793 | Mikayel Grigoryan Md Inc | Psychiatry & Neurology | 1451 E Chevy Chase Dr Ste 201, Glendale, CA 91206-4056 | 2019-07-19 |
| 1407371081 | Vahe Akopian Md Inc | Psychiatry & Neurology | 416 E Colorado St Ste A, Glendale, CA 91205-5100 | 2017-08-04 |
| 1831619444 | Vahe Akopian Md Inc | Psychiatry & Neurology | 1451 E Chevy Chase Dr Ste 201, Glendale, CA 91206-4056 | 2017-06-24 |
| Find all providers in GLENDALE | ||||
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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.