PRIME NEUROLOGY, INC. (NPI# 1770906836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770906836 |
| Entity Type | Organization |
| Organization Name | PRIME NEUROLOGY, INC. |
| Practice Address |
16350 Ventura Blvd Ste D323 Encino CA 91436 |
| Mailing Address |
16350 Ventura Blvd Ste D323 Encino CA 91436-5300 |
| Practice Telephone | 8886185288 |
| Practice Fax Number | 8886185288 |
| Mailing Telephone | 8886185288 |
| Mailing Fax Number | 8886185288 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2019-07-01 |
| Authorized Official Name | DR. KIMBERLY IDOKO (CEO) |
| Authorized Official Telephone | 8886185288 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14724 Ventura Blvd, Suite 420, Sherman Oaks, CA 914033501 | 8886185288 | 8183055663 |
| Street Address |
16350 VENTURA BLVD STE D323 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003080896 | Kimberly Elizabeth Idoko | Psychiatry & Neurology | 16350 Ventura Blvd Ste D323, Encino, CA 91436-5300 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| 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 |
|---|---|---|---|---|
| 1922423516 | Nastaran Rafiei, M.d. Inc | Psychiatry & Neurology | 16311 Ventura Blvd Ste 680, Encino, CA 91436-4321 | 2014-02-19 |
| 1003080896 | Kimberly Elizabeth Idoko | Psychiatry & Neurology | 16350 Ventura Blvd Ste D323, Encino, CA 91436-5300 | 2008-04-14 |
| 1316969843 | Neil Paul Rosenthal | Psychiatry & Neurology | 17525 Ventura Blvd., Suite 203., Encino, CA 91316-5109 | 2006-07-24 |
| 1962448431 | Moossa Heikali | Psychiatry & Neurology | 18065 Ventura Blvd, Encino, CA 91316-3517 | 2006-06-21 |
| 1295789972 | Evgeny I Tsimerinov | Psychiatry & Neurology | 17777 Ventura Blvd # 137, Encino, CA 91316-3736 | 2006-05-19 |
| 1093084105 | Nighat Sarwar, M.d., Inc. | Psychiatry & Neurology | 16030 Ventura Blvd, Suite 400, Encino, CA 91436-2731 | 2011-12-19 |
| 1982906798 | Steven Novom M.d. Inc. | Psychiatry & Neurology | 17525 Ventura Blvd, Suite 203, Encino, CA 91316-5109 | 2010-11-30 |
| 1467609578 | Abdi Morovati, D.o., Inc. | Psychiatry & Neurology | 16661 Ventura Blvd, Suite 700, Encino, CA 91436-1914 | 2008-08-20 |
| 1093909384 | N. Paul Rosenthal M.d. Inc. | Psychiatry & Neurology | 17525 Ventura Blvd., Suite # 203, Encino, CA 91316-5109 | 2007-08-30 |
| 1780701201 | Jay Jurkowitz | Psychiatry & Neurology | 16311 Ventura Blvd, #1000, Encino, CA 91436 | 2007-03-22 |
| Find all providers in ENCINO | ||||
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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.