NPIMap

Organization Active NPI

Jey Neuro Center, Inc

Doing business as Valley Neurology Group

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1659994739
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
JEY NEURO CENTER, INC
Doing business as
Valley Neurology Group
Practice address
3400 Calloway Dr Ste 100
Bakersfield, CA 93312-2513
Phone
(661) 776-3876
Fax
(661) 766-3876
NPI assigned
May 22, 2020
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Dr. Venkatesh Janakiraman, MDNPI 1629331988
Title
Ceo
Phone
(661) 497-7999

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary
Clinical Neurophysiology Physician 2084N0600X NU

Addresses

Primary practice location

3400 Calloway Dr Ste 100
Bakersfield, CA 93312-2513

Mailing address

6077 Coffee Rd #4
Unit 310
Bakersfield, CA 93308-9416
Phone (661) 776-3876

Other practice location 1

2005 Eye Street #8-501
Bakersfield, CA 93301-4451
Phone (609) 254-6112

Other identifiers 2

IdentifierTypeStateIssuer
1659994739OtherNPI
CA446107OtherPTAN

Other names 1

  • Valley Neurology Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Drchorno Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210114002989 CA Part B Supplier - Clinic/Group Practice 8820401649 Receives reassigned benefits from 4 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

2005 Eye St
#8501
Bakersfield, CA 93301
Phone (609) 254-6112

Practitioners & affiliated clinicians

Practitioners 5

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": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1659994739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 COFFEE RD #4",
            "address_2": "UNIT 310",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933089416",
            "telephone_number": "661-776-3876",
            "fax_number": "661-766-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "661-776-3876",
            "fax_number": "661-766-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Eye Street #8-501",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933014451",
            "country_code": "US",
            "telephone_number": "609-254-6112",
            "fax_number": "888-697-1764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEY NEURO CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "JANAKIRAMAN",
        "authorized_official_first_name": "VENKATESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-497-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659994739",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CA446107",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Drchorno",
            "affiliation": "N",
            "endpointDescription": "Drchrono",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "3400 Calloway Dr Ste 100",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933122513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Valley Neurology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.