Active NPI
California Neuromedical Services
- Clinical Neurophysiology Physician
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- G64157
- Legal business name
- CALIFORNIA NEUROMEDICAL SERVICES
- Practice address
- 301 N Prairie Ave
Ste.315
Inglewood, CA 90301-4507 - Phone
- (310) 680-0304
- Fax
- (310) 680-0305
- NPI assigned
- Dec 30, 2008
- Last updated
- Mar 22, 2011
- 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
- Rosabel R Young, M.D.
- Title
- President/Owner
- Phone
- (310) 428-2244
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | G64157 | CA | Primary |
Addresses
Primary practice location
301 N Prairie Ave
Ste.315
Inglewood, CA 90301-4507
Mailing address
511 Brookside Ave
Ste. 102
Redlands, CA 92373-4611
Phone (909) 557-8727
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G641570 | Medicaid | CA | |
| P00011946 | Other | CA | RAILROAD MEDICARE |
| 000G641570 | Other | CA | BLUE SHIELD |
| RR1022 | Other | CA | RAILROAD MEDICARE |
| 180519600 | Other | CA | OWCP |
National Provider Directory
National Provider DirectoryLocations
16 E Fern Ave
Ste D
Redlands, CA 92373
Phone (310) 680-0304
Practitioners & affiliated clinicians
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.
-
- Clinical Neurophysiology Physician
- Redlands, CA
- NPI 1659487817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300752000000",
"number": "1043456742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 BROOKSIDE AVE",
"address_2": "STE. 102",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734611",
"telephone_number": "909-557-8727",
"fax_number": "909-335-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N PRAIRIE AVE",
"address_2": "STE.315",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014507",
"telephone_number": "310-680-0304",
"fax_number": "310-680-0305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA NEUROMEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-30",
"last_updated": "2011-03-22",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ROSABEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "310-428-2244",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "G64157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G641570",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00011946",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000G641570",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "RR1022",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "180519600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.