Organization Active NPI

Los Angeles Neurosciences, Inc.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Valencia, CA
National Provider Identifier
1457855322
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A130877 Issued in CA
Legal business name
LOS ANGELES NEUROSCIENCES, INC.
Doing business as
Los Angeles Neurosciences, Inc.
Practice address
23861 McBean Pkwy Ste E12
Valencia, CA 91355-2077
Phone
(661) 857-7100
Fax
(661) 481-0239
NPI assigned
Mar 23, 2018
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Crystal Garibay
Title
Office Manager
Phone
(661) 857-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X A130877 CA Primary

Addresses

Primary practice location

23861 McBean Pkwy Ste E12
Valencia, CA 91355-2077

Mailing address

25614 Trent Way
Stevenson Ranch, CA 91381-1471

Other names 1

  • LOS ANGELES NEUROSCIENCES, INC. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180501003049 CA Part B Supplier - Clinic/Group Practice 4587928445 Receives reassigned benefits from 1 practitioner
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

23861 McBean Pkwy
Ste E12
Valencia, CA 91355
Phone (661) 259-6022

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1457855322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25614 TRENT WAY",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY STE E12",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552077",
            "telephone_number": "661-857-7100",
            "fax_number": "661-481-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES NEUROSCIENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GARIBAY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-857-7100"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A130877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS ANGELES NEUROSCIENCES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.