Neurorescue, a Professional Medical

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A66315 Issued in CA

Legal business name

NEURORESCUE, A PROFESSIONAL MEDICAL

Doing business as

Southern California Neurorescue Specialists

Practice address

18111 Brookhurst St
5800
Fountain Valley, CA 92708-6728

Phone

(714) 443-0011

Fax

(949) 284-0604

NPI assigned

Jun 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mian Mohsin Shah, MD

Title

President

Phone

(714) 443-0011

Specialties & licenses 8

Addresses

Other names 1

• Southern California Neurorescue Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• M. Mohsin Shah, M.D.

  • Neurological Surgery Physician
  • Bradenton, FL
  • NPI 1811970726

  CA

  Medicare reassignment

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1073874970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLLIER CT",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821525",
            "telephone_number": "714-443-0011",
            "fax_number": "949-284-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "5800",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-443-0011",
            "fax_number": "949-284-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURORESCUE, A PROFESSIONAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MIAN",
        "authorized_official_middle_name": "MOHSIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-443-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "A66315",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A66315",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A66315",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A66315",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A66315",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A66315",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A66315",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A66315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Neurorescue Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert L Neilan, M.D.
• Eric H Nelson, MD
• Nephrology Independent Physicians Association Inc
• Nephrology Independent Practice Association, Inc.
• Jocelyn Neri-Romero
• New Alternatives Inc.
• New Existence LLC
• New Experience LLC
• New Hope Home Health, Inc.
• New Hope Surgery Center Inc.

• Neurological Surgery Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.