Organization Active NPI

California Neuromedical Services, Inc.

  • Neurology Physician
  • Redlands, CA
National Provider Identifier
1639306780
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G64157 Issued in CA
Legal business name
CALIFORNIA NEUROMEDICAL SERVICES, INC.
Practice address
511 Brookside Ave
Suite # 102
Redlands, CA 92373-4611
Phone
(909) 557-8727
Fax
(909) 792-2565
NPI assigned
Jun 16, 2009
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Dr. Rosabel R Young, M.D., M.S. PHARM.NPI 1659487817
Title
President
Phone
(310) 428-2244

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 Physician 2084N0400X G64157 CA Primary

Addresses

Primary practice location

511 Brookside Ave
Suite # 102
Redlands, CA 92373-4611

Mailing address

3201 Overland Ave
Ste 9130
Los Angeles, CA 90034-4574
Phone (909) 557-8727

National Provider Directory

National Provider Directory

Locations

511 Brookside Ave
Ste 102
Redlands, CA 92373
Phone (909) 557-8727

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": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1639306780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 OVERLAND AVE",
            "address_2": "STE 9130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344574",
            "telephone_number": "909-557-8727",
            "fax_number": "310-680-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BROOKSIDE AVE",
            "address_2": "SUITE # 102",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734611",
            "telephone_number": "909-557-8727",
            "fax_number": "909-792-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NEUROMEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROSABEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-428-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.S. PHARM."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G64157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.