California Brain Institute Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

CALIFORNIA BRAIN INSTITUTE INC

Practice address

2100 Lynn Rd Ste 120
Thousand Oaks, CA 91360-8033

Phone

(805) 795-7656

Fax

(805) 618-1501

NPI assigned

Dec 30, 2015

Organization subpart

No

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

Authorized official

Name

Martin Mortazavi, MD

Title

President

Phone

(602) 810-7403

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1669837902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 E THOUSAND OAKS BLVD",
            "address_2": "3789",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913597901",
            "telephone_number": "805-795-7656",
            "fax_number": "805-494-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LYNN RD STE 120",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608033",
            "telephone_number": "805-795-7656",
            "fax_number": "805-618-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA BRAIN INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "MORTAZAVI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-810-7403",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A112672",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Punongbayan Calantog
• Yvonne Kathleen Calderon, DPT
• Christine Marie Caldwell, PA
• Michelle Caldwell
• California Allergy Institute, Inc.
• California Care Management, Inc.
• California Center for Cardiothoracic Surgery
• California Cerebrovascular Institute Inc
• California Dermatology Institute PC
• California Hand and Physical Therapy Inc

• Neurological Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.