Organization Active NPI

Elite Neurology of Orange County

  • Neurology Physician
  • Orange, CA
National Provider Identifier
1083019830
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G81195 Issued in CA
Legal business name
ELITE NEUROLOGY OF ORANGE COUNTY
Practice address
2617 E Chapman Ave Ste 101
Orange, CA 92869-3251
Phone
(714) 202-0218
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Mrs. Consuelo Aguirre
Title
Biller
Phone
(719) 322-5654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X G81195 CA Primary

Addresses

Primary practice location

2617 E Chapman Ave Ste 101
Orange, CA 92869-3251

Mailing address

2617 E Chapman Ave Ste 101
Orange, CA 92869-3251
Phone (714) 202-0218

Other identifiers 3

IdentifierTypeStateIssuer
1083019830OtherCAGROUP NPI
1841210846OtherCANPI
G81195OtherCAMEDICAL BOARD OF CA

Other names 1

  • Elite Neurology of Orange County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150224001216 CA Part B Supplier - Clinic/Group Practice 5698091338 Receives reassigned benefits from 2 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

2617 E Chapman Ave
Ste 101
Orange, CA 92869
Phone (714) 202-0218

13420 Newport Ave
Tustin, CA 92780
Phone 714202021834

6765 Westminster Blvd
Ste C408
Westminster, CA 92683

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1083019830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693251",
            "telephone_number": "714-202-0218",
            "fax_number": "714-422-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693251",
            "telephone_number": "714-202-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE NEUROLOGY OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "CONSUELO",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "719-322-5654",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G81195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1083019830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841210846",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CA",
            "identifier": "G81195",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Neurology of Orange County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.