NPIMap

Cep America - Neurology PC

Organization Active NPI Neurology Physician · Simi Valley, CA

NPI 1083483705 · NPPES record last updated Dec 21, 2023

Key facts

NPI
1083483705
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
CEP AMERICA - NEUROLOGY PC
Practice address
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone
(805) 955-6000
NPI assigned
Dec 21, 2023
Organization subpart
No

Authorized official

Name
David Birdsall, MD
Title
VP and Secretary
Phone
(510) 350-2600

Other NPIs on the same Medicare enrollment 38

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 38

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170622001181 CA Part B Supplier - Clinic/Group Practice 3971871500 Receives reassigned benefits from 145 practitioners
38 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Cep America - Neurology PC (33 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084N0400X Yes

Addresses

Primary practice location

2975 Sycamore Dr
Simi Valley, CA 93065-1201

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 851-7501

Other providers in Simi Valley, CA

All providers in Simi Valley, CA · Neurology Physician in California

Sources for this page

Verify at the official NPI Registry.