Active NPI
Neurologicinc
- Electroneurodiagnostic Specialist/Technologist
- Pasadena, CA
National Provider Identifier
1023564481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 4713
- Legal business name
- NEUROLOGICINC
- Practice address
- 630 S Raymond Ave
Pasadena, CA 91105-3278 - Phone
- (818) 442-8350
- NPI assigned
- Aug 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Asa Maria Albecz, REEGT RPSGT
- Title
- Ceo
- Phone
- (818) 442-8350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 4713 | CA | Primary |
Addresses
Primary practice location
630 S Raymond Ave
Pasadena, CA 91105-3278
Mailing address
15021 Ventura Blvd
#393
Sherman Oaks, CA 91403-2442
Phone (818) 442-8350
Other names 1
- Concussionsrus
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503619200000",
"number": "1023564481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15021 VENTURA BLVD",
"address_2": "#393",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032442",
"telephone_number": "818-442-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S RAYMOND AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053278",
"telephone_number": "818-442-8350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICINC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-26",
"last_updated": "2017-08-25",
"status": "A",
"authorized_official_last_name": "ALBECZ",
"authorized_official_first_name": "ASA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-442-8350",
"authorized_official_credential": "REEGT RPSGT"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "CA",
"license": "4713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Concussionsrus",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.