Southern California Neurology and Psychiatry Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

C53290 Issued in CA

Legal business name

SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY INC

Practice address

720 Wood St
Eureka, CA 95501-4413

Phone

(707) 502-5519

NPI assigned

Jan 7, 2013

Last updated

Jul 30, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Panna R ShahNPI 1780659763

Title

MD

Phone

(619) 403-1701

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Panna R Shah, MD

  • Psychiatry Physician
  • Eureka, CA
  • NPI 1780659763

  Neurology

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1003153412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21270 BLUE HILLS DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706517",
            "telephone_number": "619-403-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WOOD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014413",
            "telephone_number": "707-502-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "619-403-1701"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C53290",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C53290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eve Sotelo, PHARM D
• John Angel Sotelo, M.D.
• Concepcion Leona Sousa, PPSC, REGISTERED ASW
• Steven Sousa
• South Bay Union Elementary School District
• Jerad Alan Souza, P.T.
• Linda Marie Souza, BA
• Keely Spalding
• Justin Peter Spangler, PA
• Karen Lee Sparr

• Neurology Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.