Caring Neurology Services Medical Clinic

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

G71964 Issued in CA

Legal business name

CARING NEUROLOGY SERVICES MEDICAL CLINIC

Practice address

17150 Euclid Street
Suite 320
Fountain Valley, CA 92708

Phone

(714) 432-1321

Fax

(714) 434-1890

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Scott L ShoemakerNPI 1881632784

Title

Owner

Phone

(714) 432-1321

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caring Neurology Services 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.

• Scott L Shoemaker, MD

  • Neurology Physician
  • Fountain Valley, CA
  • NPI 1881632784
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1649460569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17150 EUCLID STREET",
            "address_2": "SUITE 320",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-432-1321",
            "fax_number": "714-434-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17150 EUCLID STREET",
            "address_2": "SUITE 320",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-432-1321",
            "fax_number": "714-434-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING NEUROLOGY SERVICES MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-432-1321"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "G71964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G719640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Neurology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Capodarco, FNP-BC
• Tiffany Crystle Caragan, NURSE PRACTITIONER
• Cardio Data
• Care 1 Medical
• Care Jordan Senior Homes, LLC
• Jonathan Rex Carlos, PTA
• Caroline Conner MD, Inc
• Jody Noelle Carr, PA-C
• Jennifer Crystal Carranza
• Summer Mariah Carranza, BA CSD, CERT SLPA

• Neurology with Special Qualifications in Child Neurology Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.