Center of Excellence in Pediatric Neurology Medical Inc

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC

Practice address

5800 Stanford Ranch Rd
Building 800
Rocklin, CA 95765-4387

Phone

(916) 836-8500

Fax

(916) 758-2924

NPI assigned

Dec 16, 2016

Organization subpart

No

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

Authorized official

Name

Ashutosh Raina, MD

Title

Owner

Phone

(916) 836-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1033653571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD",
            "address_2": "BUILDING 800",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654387",
            "telephone_number": "916-836-8500",
            "fax_number": "916-758-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD",
            "address_2": "BUILDING 800",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654387",
            "telephone_number": "916-836-8500",
            "fax_number": "916-758-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "RAINA",
        "authorized_official_first_name": "ASHUTOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-836-5800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Castillo Ramirez
• Marissa Castillo
• Julie Castner, PA
• Kiera Catubig-Hess
• CB Medical Center Inc
• Veronica Cerda
• Rosamaria Alina Cerezo, NONE
• Elizabeth Cha
• Chacon BNK PC (Rocklin Dermatology)
• Chance Chacon

• Neurology with Special Qualifications in Child Neurology Physician in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.