Adult Neurology Specialists Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ADULT NEUROLOGY SPECIALISTS INC

Practice address

729 Sunrise Ave Ste 616
Roseville, CA 95661-4548

Phone

(954) 732-1211

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kauroon Mazdak Darya, DONPI 1922414796

Title

Ceo

Phone

(408) 679-9807

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Kauroon Mazdak Darya, D.O

  • Neurology Physician
  • Roseville, CA
  • NPI 1922414796
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1336749100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 616",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614548",
            "telephone_number": "954-732-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 616",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614548",
            "telephone_number": "954-732-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT NEUROLOGY SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "DARYA",
        "authorized_official_first_name": "KAUROON",
        "authorized_official_middle_name": "MAZDAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-679-9807",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Adapon
• Lateefat Tiwalade Adele, MSN, PMHNP
• Mireille Dora Adelson, C.N.M.
• Meira Adler
• Jeffrey Adorador
• Advanced Pain Diagnostic & Solutions, Inc.
• Advantage Mental Health and Marriage Counseling Inc. (Mason Anglin, LMFT)
• Advantage MRI Roseville LP
• Adventist Health Care Network, Inc.
• Adventist Health Outpatient Pharmacy Services, LLC (Adventist Health Community Pharmacy - Roseville)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.