Dlondon Neurocare Corp

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DLONDON NEUROCARE CORP

Doing business as

Fullerton Neurology and Headache Center

Practice address

100 Laguna Rd Ste 208
Fullerton, CA 92835-3633

Phone

(714) 738-0800

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By 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

Dr. Diana Londono, MDNPI 1801235700

Title

Owner

Phone

(617) 610-3409

Specialties & licenses 1

Addresses

Other names 1

• Fullerton Neurology and Headache Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Diana Londono

  • Neurology Physician
  • La Quinta, CA
  • NPI 1801235700
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1558198028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAGUNA RD STE 208",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353633",
            "telephone_number": "714-738-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAGUNA RD STE 208",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353633",
            "telephone_number": "714-738-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLONDON NEUROCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "LONDONO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-610-3409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "Fullerton Neurology and Headache Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Nghi Dinh
• Maria Guadalupe Diosdado, NP
• Dhanya A Divakaran, D.D.S.
• Divine Medical Supply, Incorporated (Divine Medical Supply)
• Julia Dixon
• DMC Health LLC
• Anthony-Tu DO
• Jocelyn DO
• Son Hoang DO, M.D.
• Son Hong DO, M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.