Active NPI
B S Subhas, M.D.
- Neurology Physician
- Anaheim, CA
National Provider Identifier
1598821142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A33850
- Practice address
- 1751 W Romneya Dr
Suite #J
Anaheim, CA 92801-1815 - Phone
- (714) 776-3566
- Fax
- (714) 776-3303
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A33850 | CA | Primary |
Addresses
Primary practice location
1751 W Romneya Dr
Suite #J
Anaheim, CA 92801-1815
Mailing address
1751 W Romneya Dr
Suite #J
Anaheim, CA 92801-1815
Phone (714) 776-3566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101430 | Medicaid | CA | |
| 00A338500 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33850 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates Medical Group | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598821142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 W ROMNEYA DR",
"address_2": "SUITE #J",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011815",
"telephone_number": "714-776-3566",
"fax_number": "714-776-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 W ROMNEYA DR",
"address_2": "SUITE #J",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011815",
"telephone_number": "714-776-3566",
"fax_number": "714-776-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBHAS",
"first_name": "B",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A33850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0101430",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A338500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.