Organization Active NPI

California Neuromedical Services

  • Clinical Neurophysiology Physician
  • Inglewood, CA
National Provider Identifier
1043456742
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
G64157 Issued in CA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Rosabel R Young, M.D.NPI 1659487817
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G641570MedicaidCA
P00011946OtherCARAILROAD MEDICARE
000G641570OtherCABLUE SHIELD
RR1022OtherCARAILROAD MEDICARE
180519600OtherCAOWCP

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.