California Neuroendovascular Specialists Medical Corporation

Primary specialty

Neurocritical Care PhysicianTaxonomy code 2084A2900X

Legal business name

CALIFORNIA NEUROENDOVASCULAR SPECIALISTS MEDICAL CORPORATION

Practice address

155 N Lake Ave Ste 800
Pasadena, CA 91101-1857

Phone

(562) 491-9270

NPI assigned

Feb 3, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wled Wazni, MDNPI 1528297009

Title

President

Phone

(562) 522-5304

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Wled Wazni, M.D

  • Vascular Neurology Physician
  • Long Beach, CA
  • NPI 1528297009

  Neurocritical Care

  Medicare reassignment Care Compare group NPD Authorized official
• Elie Dancour

  • Neurology Physician
  • Pasadena, CA
  • NPI 1275824252
  Medicare reassignment Care Compare group NPD
• Aakash Bodhit, M.D.

  • Neurology Physician
  • Saint Louis, MO
  • NPI 1487060166

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1689205049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S LAKE AVE # 439",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013515",
            "telephone_number": "562-522-5304",
            "fax_number": "562-491-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE STE 800",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011857",
            "telephone_number": "562-491-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NEUROENDOVASCULAR SPECIALISTS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "WAZNI",
        "authorized_official_first_name": "WLED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-522-5304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Drug Consultants
• California Drug Counseling
• California Drug Counseling, Inc.
• California Eye Specialists Medical Group, Inc
• California International Nursing Services, Inc. (Dedicated Home Health Agency)
• Roxanne Antonia Calimeris
• Wiley Diego Calkins
• Call the Car
• Linda L Callahan, LMFT
• Jennifer Callejas

• Neurocritical Care Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Neurocritical Care Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.