NPIMap

Organization Active NPI

Southern California Neurology Medical Group, Inc.

Doing business as Southern California Neurology Consultants

  • Neurology Physician
  • Glendale, CA
National Provider Identifier
1407236466
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC.
Doing business as
Southern California Neurology Consultants
Practice address
416 E Colorado St Ste a
Glendale, CA 91205-5100
Phone
(626) 535-9344
NPI assigned
Jun 4, 2015
Organization subpart
Yes
Parent organization
SOUTHERN CALIFORNIA NEUROLOGY CONSULTANTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Dr. Yafa Minazad, DONPI 1982636122
Title
Ceo
Phone
(626) 535-9344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

416 E Colorado St Ste a
Glendale, CA 91205-5100

Mailing address

416 E. Glendale St., Suite a
Glendale, CA 91205-5100

Other names 1

  • Southern California Neurology Consultants Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000492 CA Part B Supplier - Clinic/Group Practice 5294997854 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasadena, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Southern California Neurology Medical Group Inc

Locations

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1407236466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E. GLENDALE ST., SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E COLORADO ST STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055100",
            "telephone_number": "626-535-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN CALIFORNIA NEUROLOGY CONSULTANTS",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MINAZAD",
        "authorized_official_first_name": "YAFA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-535-9344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern California Neurology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.