South Valley Neurology

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SOUTH VALLEY NEUROLOGY

Practice address

16130 Juan Hernandez Dr
Suite 110
Morgan Hill, CA 95037

Phone

(408) 778-4886

Fax

(408) 778-4844

NPI assigned

Aug 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Zepure Kouyoumdjian, D.O.

Title

President

Phone

(408) 778-4886

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Edward(Ted) James Guarino, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Jose, CA
  • NPI 1558455741
  NPD (past)

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1306125935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16130 JUAN HERNANDEZ DR",
            "address_2": "SUITE 110",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-778-4886",
            "fax_number": "408-778-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16130 JUAN HERNANDEZ DR",
            "address_2": "SUITE 110",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "408-778-4886",
            "fax_number": "408-778-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-13",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "KOUYOUMDJIAN",
        "authorized_official_first_name": "ZEPURE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-778-4886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306125935   01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PIN",
            "identifier": "4966040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skye Behavioral Health Group, LLC
• Skye Forensic Mental Health Consulting, LLC
• Matthew Small, PHARMD
• Adrian Arturo Solis Ximello
• South Bay Family Therapy, Inc.
• South Valley Senior Care, Inc.
• Lauren Len Spiegel, M.D.
• Gabrielle Spinosa
• Sheldon Jan Ansel Steenhuis, DC
• Benjamin Scott Stein, DDS

• Neurology Physician in Morgan Hill, CA
• Providers in Morgan Hill, 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 27, 2017; 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.