CALIFORNIA BRAIN INSTITUTE INC (NPI# 1669837902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669837902 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA BRAIN INSTITUTE INC |
| Practice Address |
2100 Lynn Rd Ste 120 Thousand Oaks CA 91360-8033 |
| Mailing Address |
3435 E Thousand Oaks Blvd 3789 Westlake Village CA 91359-7901 |
| Practice Telephone | 8057957656 |
| Practice Fax Number | 8056181501 |
| Mailing Telephone | 8057957656 |
| Mailing Fax Number | 8054948621 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MARTIN MORTAZAVI (PRESIDENT) |
| Authorized Official Telephone | 6028107403 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A112672 | CA | Other Service Providers |
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2100 LYNN RD STE 120 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-8033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245300268 | Bert B Schoenkerman | Obstetrics & Gynecology | 2100 Lynn Rd Ste 120, Thousand Oaks, CA 91360-8033 | 2006-11-08 |
| 1215593652 | California Institute of Neuroscience Inc | Psychiatry & Neurology | 2100 Lynn Rd Ste 120, Thousand Oaks, CA 91360-8033 | 2019-05-10 |
| 1730654039 | National Institute of Neuroscience Inc | Neurological Surgery | 2100 Lynn Rd Ste 120, Thousand Oaks, CA 91360-8033 | 2018-10-12 |
| 1124517123 | California Institute of Neuropsychiatry, Inc | Clinic/Center | 2100 Lynn Rd Ste 120, Thousand Oaks, CA 91360-8033 | 2018-05-04 |
| 1679869242 | Shushanik Khachatryan | Marriage & Family Therapist | 2100 Lynn Rd Ste 120, Thousand Oaks, CA 91360-8033 | 2011-06-22 |
| 1093958852 | Martin Mazyar Mortazavi Shemirani | Neurological Surgery | 2100 Lynn Rd Ste 120, Thousand Oaks, CA 91360-8033 | 2009-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154714525 | Robert Coffey | Neurological Surgery | 353 Dryden St, Thousand Oaks, CA 91360-5306 | 2015-03-10 |
| 1871512566 | Ronald F Young | Neurological Surgery | 2200 Lynn Rd, Thousand Oaks, CA 91360-2071 | 2006-07-19 |
| 1841231248 | Kapil Moza | Neurological Surgery | 313 S Moorpark Rd, Thousand Oaks, CA 91361-1008 | 2006-06-09 |
| 1437782398 | Ha Son Nguyen Md | Neurological Surgery | 227 W Janss Rd Ste 125, Thousand Oaks, CA 91360-1856 | 2020-02-19 |
| 1730654039 | National Institute of Neuroscience Inc | Neurological Surgery | 2100 Lynn Rd Ste 120, Thousand Oaks, CA 91360-8033 | 2018-10-12 |
| 1053677914 | Kofi Kessey Md/phd Inc. A California Professional Medical Corporation | Neurological Surgery | 351 Rolling Oaks Dr, Suite 204, Thousand Oaks, CA 91361-1275 | 2012-04-04 |
| 1518256429 | Ha Son Nguyen | Neurological Surgery | 227 W Janss Rd, Ste 125, Thousand Oaks, CA 91360-1856 | 2011-03-31 |
| 1093958852 | Martin Mazyar Mortazavi Shemirani | Neurological Surgery | 2100 Lynn Rd Ste 120, Thousand Oaks, CA 91360-8033 | 2009-04-09 |
| 1083893051 | Kapil Moza Md Professional Corporation | Neurological Surgery | 313 S Moorpark Rd, Thousand Oaks, CA 91361-1008 | 2007-10-26 |
| 1942355854 | Michael J Dorsi | Neurological Surgery | 100 Moody Ct Ste 200, Thousand Oaks, CA 91360-6082 | 2007-01-24 |
| Find all providers in THOUSAND OAKS | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
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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.