PACIFIC HILLS NEUROSURGICAL MEDICAL GROUP, INC (NPI# 1699828194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699828194 |
| Entity Type | Organization |
| Organization Name | PACIFIC HILLS NEUROSURGICAL MEDICAL GROUP, INC |
| Practice Address |
1505 Wilson Ter Suite 300 Glendale CA 91206-4071 |
| Practice Telephone | 8182425339 |
| Practice Fax Number | 8182425272 |
| Mailing Telephone | 8182425339 |
| Mailing Fax Number | 8182425272 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IGOR FINEMAN (OWNER) |
| Authorized Official Telephone | 8182425339 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | A55380 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A55380 | 01 |
| Street Address |
1505 WILSON TER SUITE 300 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380622 | Donald J Williams Md A Professional Corporation | Specialist | 1505 Wilson Ter, Suite 155, Glendale, CA 91206-4071 | 2005-07-21 |
| 1386001261 | Los Angeles Hematology Oncology Medical Group | Pharmacy | 1505 Wilson Ter, Suite 200, Glendale, CA 91206-4071 | 2016-01-22 |
| 1306214242 | Vladimir Aratan Camarce | Nurse Practitioner | 1505 Wilson Ter, Suite 250, Glendale, CA 91206-4071 | 2015-09-09 |
| 1912265166 | Sondra Kay Samples | Audiologist | 1505 Wilson Ter, Glendale, CA 91206-4071 | 2012-04-25 |
| 1396027892 | Gerald M. Pohost, Md, Inc. | Specialist | 1505 Wilson Ter, Suite 150, Glendale, CA 91206-4071 | 2011-09-12 |
| 1245527555 | Isaac Nef | Acupuncturist | 1505 Wilson Ter, Ste 250, Glendale, CA 91206-4071 | 2011-07-07 |
| 1336440940 | Jacob E. Tauber, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 1505 Wilson Ter, Suite 310, Glendale, CA 91206-4071 | 2010-11-12 |
| 1477867257 | Lynnette Tatosyan, Do Inc | Internal Medicine | 1505 Wilson Ter, 315, Glendale, CA 91206-4071 | 2010-08-04 |
| 1609196245 | Kirk Medical Incorporated | Obstetrics & Gynecology | 1505 Wilson Ter, Suite 220, Glendale, CA 91206-4071 | 2010-06-05 |
| 1780911271 | Ami N. Patel, M.d., Inc. | Internal Medicine | 1505 Wilson Ter, Suite # 155, Glendale, CA 91206-4071 | 2009-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| 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 |
|---|---|---|---|---|
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1457748055 | Patrick Wade | Neurological Surgery | 1016 E Broadway Ste 100, Glendale, CA 91205-4533 | 2015-04-21 |
| 1275724320 | Yaser Badr | Neurological Surgery | 1500 E Chevy Chase Dr Ste 204, Glendale, CA 91206-4152 | 2007-08-05 |
| 1801003686 | Mikayel Grigoryan | Neurological Surgery | 1500 E Chevy Chase Dr # 204, Glendale, CA 91206-4152 | 2007-05-17 |
| 1629128285 | Rajendra K. Tiwari, M.d., Professional Corporation | Neurological Surgery | 1500 S Central Ave, #314, Glendale, CA 91204-2573 | 2007-01-12 |
| 1386793198 | Rajendra K Tiwari | Neurological Surgery | 1500 S Central Ave, #314, Glendale, CA 91204-4800 | 2007-01-10 |
| 1083798607 | Kyoo S, Ro, M.d., Inc. | Neurological Surgery | 435 Arden Ave, #380, Glendale, CA 91203-1130 | 2006-10-24 |
| 1689618571 | Jack Hudson Deckard | Neurological Surgery | 5150 N Port Washington Rd, Ste 220, Glendale, WI 53217-5474 | 2006-06-15 |
| 1083613897 | Kyoo Sang Ro | Neurological Surgery | 435 Arden Ave, 380, Glendale, CA 91203-1130 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
| 1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
| 1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
| 1982259461 | Mauricio Mandel Brigido | Neurological Surgery | 300 Pasteur Dr # R281, Stanford, CA 94305-2200 | 2019-08-01 |
| 1538713227 | Sylvain Palmer Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 | 2019-07-31 |
| 1851945877 | X.sean Xin, Do Inc. | Neurological Surgery | 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 | 2019-07-29 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
| 1609438761 | Py26 Neurosurgery, PC | Neurological Surgery | 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 | 2019-06-28 |
| 1679133664 | Sequoia Neurosurgery, Inc. | Neurological Surgery | 306 N Conyer St Ste A, Visalia, CA 93291-4704 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PACIFIC HILLS NEUROSURGICAL MEDICAL GROUP, INC.
| 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.