Organization Active NPI

East County Neurology Associates, Inc.

  • Neurology Physician
  • La Mesa, CA
National Provider Identifier
1215170097
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
EAST COUNTY NEUROLOGY ASSOCIATES, INC.
Practice address
8851 Center Dr Ste 307
La Mesa, CA 91942-6006
Phone
(619) 337-7900
Fax
(619) 337-7902
NPI assigned
Apr 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. Ahmad Shah Mohammad, MD
Title
Owner
Phone
(619) 337-7900

Specialties & licenses 1

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

Addresses

Primary practice location

8851 Center Dr Ste 307
La Mesa, CA 91942-6006

Mailing address

PO Box 2496
La Mesa, CA 91943-2496
Phone (619) 337-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090914000430 CA Part B Supplier - Clinic/Group Practice 1052467206 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA

National Provider Directory

National Provider Directory

Locations

8851 Center Dr
Ste 307
La Mesa, CA 91942
Phone (616) 337-7900

Practitioners & affiliated clinicians

Practitioners 1

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": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1215170097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2496",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432496",
            "telephone_number": "619-337-7900",
            "fax_number": "619-337-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 307",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426006",
            "telephone_number": "619-337-7900",
            "fax_number": "619-337-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COUNTY NEUROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "SHAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-337-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.