Synapse Neurology Inc a Professional Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A74610 Issued in CA

Legal business name

SYNAPSE NEUROLOGY INC A PROFESSIONAL CORPORATION

Doing business as

Synapse Neurology INC A Professional Corporation

Practice address

323 N Prairie Ave
Suite 200
Inglewood, CA 90301-4502

Phone

(310) 680-0560

Fax

(310) 680-0565

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Kheradyar, M.D.NPI 1518917640

Title

President

Phone

(310) 680-0560

Specialties & licenses 1

Addresses

Other names 1

• Synapse Neurology INC A Professional Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• David Kheradyar, M.D.

  • Neurology Physician
  • Inglewood, CA
  • NPI 1518917640
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1306094925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE",
            "address_2": "SUITE 200",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014502",
            "telephone_number": "310-680-0560",
            "fax_number": "310-680-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE",
            "address_2": "SUITE 200",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014502",
            "telephone_number": "310-680-0560",
            "fax_number": "310-680-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPSE NEUROLOGY INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "KHERADYAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-680-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A74610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synapse Neurology INC A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SVC Medical Management, LLC.
• Nadir Ayub Swallah
• Shalene Ann Sweet
• Sema Syed, LCSW
• Sylver Medical Services
• Victoria Lynn Szatalowicz, M.D.
• T.V.Scott, M.D., Inc.
• Mitra Tabassian, D.P.M.
• Zahra Tabassian, MD
• Olayinka Taiwo

• Neurology Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.