Organization Active NPI

Neuron Medical Corp

  • Neurology Physician
  • Thousand Oaks, CA
National Provider Identifier
1629299904
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEURON MEDICAL CORP
Practice address
227 W Janss Rd Ste 135
Thousand Oaks, CA 91360-1857
Phone
(805) 373-2890
Fax
(800) 746-3510
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Liliana M Cohen, M.D.NPI 1851407688
Title
President
Phone
(818) 921-2393

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

227 W Janss Rd Ste 135
Thousand Oaks, CA 91360-1857

Mailing address

227 W Janss Rd Ste 135
Thousand Oaks, CA 91360-1857
Phone (805) 373-2890

Other practice location 1

3200 E Los Angeles Ave Ste 28
Simi Valley, CA 93065-3971
Phone (805) 522-2900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018001120 CA Part B Supplier - Clinic/Group Practice 1153347273 Receives reassigned benefits from 3 practitioners
Practice locations: Thousand Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2028596Neuron Medical Corp227 W Janss Rd Ste 135, Thousand Oaks, CA 91360Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Locations

3200 E Los Angeles Ave
Ste 28
Simi Valley, CA 93065
Phone (805) 520-2780

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629299904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 135",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601857",
            "telephone_number": "805-373-2890",
            "fax_number": "800-746-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 135",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601857",
            "telephone_number": "805-373-2890",
            "fax_number": "800-746-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 E Los Angeles Ave Ste 28",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930653971",
            "country_code": "US",
            "telephone_number": "805-522-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURON MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-921-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.