Jefferson Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A88303 Issued in CA

Legal business name

JEFFERSON NEUROLOGY, LLC

Practice address

822 Pine St
Mount Shasta, CA 96067-2137

Phone

(530) 926-1039

NPI assigned

Jul 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Zakir M Ali, MDNPI 1699727750

Title

Owner

Phone

(541) 482-5515

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22230/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Zakir M Ali, MD

  • Neurology Physician
  • Ashland, OR
  • NPI 1699727750

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1114239720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975351470",
            "telephone_number": "541-512-0511",
            "fax_number": "541-512-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672137",
            "telephone_number": "530-926-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ZAKIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-482-5515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A88303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Holzer
• Carl Damon Hopkins Jr.
• Cal Howie I
• Insight Wellness Institute (Diana Muncy LMFT)
• Eric Jauregui
• Jeffrey S Rinkoff Prof Corp (Retina Care Center)
• Carol Jenkins
• Nevin Jensen
• Robin Johnston
• Julia Jones, LAC., DIPL.OM

• Neurology Physician in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.