NEUROLINK MEDICAL (NPI# 1417085283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417085283 |
| Entity Type | Organization |
| Organization Name | NEUROLINK MEDICAL |
| Practice Address |
600 S Lake Ave #205 Pasadena CA 91106-3955 |
| Practice Telephone | 8887776639 |
| Practice Fax Number | 6264086624 |
| Mailing Telephone | 8887776639 |
| Mailing Fax Number | 6264086624 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHY KIM (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8887776639 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
600 S LAKE AVE #205 |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104876481 | Edward Tai Chiang | Family Medicine | 600 S Lake Ave, Suite 105, Pasadena, CA 91106-3955 | 2006-05-10 |
| 1063953065 | Ginger Bercaw | Psychologist | 600 S Lake Ave, Pasadena, CA 91106-3955 | 2017-03-10 |
| 1316498447 | Imperial Health Holdings, A Professional Medical Corporation | Health Maintenance Organization | 600 S Lake Ave, Suite 308, Pasadena, CA 91106-3955 | 2016-10-24 |
| 1750738662 | Imperial Health Plan of California, Inc | Health Maintenance Organization | 600 S Lake Ave, Suite 200, Pasadena, CA 91106-3955 | 2016-05-20 |
| 1942553755 | American Corporate Health | Chiropractor | 600 S Lake Ave, Suite 205, Pasadena, CA 91106-3955 | 2012-10-17 |
| 1306196712 | West Coast Urgent Care Centers - Pasadena Inc | Clinic/Center | 600 S Lake Ave, Suite 105, Pasadena, CA 91106-3955 | 2012-09-12 |
| 1447515226 | William Bercaw | Psychologist | 600 S Lake Ave, #506, Pasadena, CA 91106-3955 | 2012-07-09 |
| 1083979041 | Wheelie Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 600 S Lake Ave, Ste 205, Pasadena, CA 91106-3955 | 2012-07-05 |
| 1295093136 | Piper Spurgeon Grant | Rehabilitation Counselor | 600 S Lake Ave, Suite 506, Pasadena, CA 91106-3955 | 2012-04-29 |
| 1952671232 | Liberty Diagnostics | Clinical Medical Laboratory | 600 S Lake Ave, Suite 205, Pasadena, CA 91106-3955 | 2012-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073144762 | Integrated Neurology & Pain Management, PC | Psychiatry & Neurology | 155 Glen Cove Marina Rd E Ste 100, Vallejo, CA 94591-7284 | 2020-01-31 |
| 1700423704 | Estera Luminita Heller | Psychiatry & Neurology | 1510 W Whittier Blvd # 54, La Habra, CA 90631-3617 | 2019-12-09 |
| 1669965885 | California Centers for Psychiatric Wellness and Health | Psychiatry & Neurology | 1307 W 6th St Ste 105, Corona, CA 92882-1644 | 2018-06-12 |
| 1396004594 | Hirsh Kaveeshvar | Psychiatry & Neurology | 23861 Mcbean Pkwy Ste B18, Valencia, CA 91355 | 2012-05-08 |
| 1548450448 | Aimee C Chagnon | Psychiatry & Neurology | 357 Perkins St, Suite 206, Sonoma, CA 95476-6826 | 2007-07-26 |
| 1902005713 | James David Weiss | Psychiatry & Neurology | 624 Frederick Street, Santa Cruz, CA 95062 | 2007-07-12 |
| 1467672485 | Fadi Alhatem | Psychiatry & Neurology | 250 N Robertson Blvd Ste 505, Beverly Hills, CA 90211 | 2007-05-01 |
| 1366510489 | Michael Harvey Moskowitz | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| 1497768170 | Thomas Benedict Bryan | Psychiatry & Neurology | 3351 M Street, Ste 120, Merced, CA 95348 | 2006-08-14 |
| 1235118068 | California Headache and Pain Specialist, Inc. | Psychiatry & Neurology | 420 W. Las Tunas Dr., San Gabriel, CA 91776 | 2006-01-11 |
| Find all providers with the same taxonomy | ||||
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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.