Cep America - Neurology PC
Organization Active NPI Neurology Physician · Corona, CA
NPI 1639633472 · NPPES record last updated Jan 2, 2020
Key facts
- NPI
- 1639633472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- CEP AMERICA - NEUROLOGY PC
- Practice address
- 800 S Main St
Corona, CA 92882-3420 - Phone
- (951) 737-4343
- NPI assigned
- Jan 25, 2019
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- VP/Secretary
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 38
Practitioners 6
-
Ashok Joshua Dayananthan, M.D.
-
Neal Prakash, M.D., PH.D.
-
Cynthia Elaine Garay, MSN, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170622001181 | CA | Part B Supplier - Clinic/Group Practice | 3971871500 |
Receives reassigned benefits from 145 practitioners 38 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
800 S Main St
Corona, CA 92882-3420
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2644
Other providers in Corona, CA
- Central Occupational Medicine Providers - Ontario, a Medical Corporati
- Centro Medico Community Clinic Inc
- Centro Medico Community Clinic Inc
- Centro Medico Community Clinic, Inc
- Centro Medico Communty Clinic Inc
- Juan Cerda-Ofogh
- Jessica A Cerda
- Alejandra Danielle Cerritos
- Aryana Marcela Cervantes
- Jorge Alberto Cervantes
All providers in Corona, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.