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Cep America - Neurology PC

Organization Active NPI Neurology Physician · Santa Barbara, CA

NPI 1225569346 · NPPES record last updated Jan 2, 2020

Key facts

NPI
1225569346
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
CEP AMERICA - NEUROLOGY PC
Practice address
400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone
(805) 682-7111
NPI assigned
Mar 21, 2017
Organization subpart
No

Authorized official

Name
Theophile Koury, MD
Title
Chief Executive Officer
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

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 145

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

View all 145

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

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

400 W Pueblo St
Santa Barbara, CA 93105-4353

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600

Other names

  • Vituity Doing business as

Other providers in Santa Barbara, CA

All providers in Santa Barbara, CA · Neurology Physician in California

Sources for this page

Verify at the official NPI Registry.