Active NPI
Neurology Doctors of California, Inc.
- Specialist
- Santa Ana, CA
National Provider Identifier
1104831965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NEUROLOGY DOCTORS OF CALIFORNIA, INC.
- Practice address
- 2621 S Bristol St
# 105
Santa Ana, CA 92704-5766 - Phone
- (714) 540-1840
- Fax
- (714) 540-2319
- NPI assigned
- Jul 30, 2006
- 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
- Dr. M. Michael Mahdad, M.D.
- Title
- President
- Phone
- (714) 546-5505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2621 S Bristol St
# 105
Santa Ana, CA 92704-5766
Mailing address
2621 S Bristol St
# 105
Santa Ana, CA 92704-5766
Phone (714) 540-1840
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0086520 | Other | CA | MEDI-CAL |
| CK6215 | Other | CA | RAILROAD MEDICARE NUMBER |
| ZZZ04904Z | Other | CA | BLUE SHIELD OF CA. |
Other names 1
- southern california neurology specialists med.grp.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16300 Sand Canyon Ave
Ste 609
Irvine, CA 92618
Phone (714) 848-8585
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Fountain Valley, CA
- NPI 1225092190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223251200000",
"number": "1104831965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 S BRISTOL ST",
"address_2": "# 105",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045766",
"telephone_number": "714-540-1840",
"fax_number": "714-540-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 S BRISTOL ST",
"address_2": "# 105",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045766",
"telephone_number": "714-540-1840",
"fax_number": "714-540-2319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY DOCTORS OF CALIFORNIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2008-10-06",
"status": "A",
"authorized_official_last_name": "MAHDAD",
"authorized_official_first_name": "M. MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-546-5505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "GR0086520",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "CK6215",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA.",
"identifier": "ZZZ04904Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "southern california neurology specialists med.grp.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.