NPIMap

Organization Active NPI

Brainiac Medical Corporation

  • Psychiatry Physician
  • Orange, CA
National Provider Identifier
1699472183
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRAINIAC MEDICAL CORPORATION
Practice address
2230 W Chapman Ave Ste 210C
Orange, CA 92868-2316
Phone
(714) 333-0891
Fax
(951) 666-3501
NPI assigned
Feb 14, 2023
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Taqialdeen Zamil, NPNPI 1598154478
Title
Cfo
Phone
(714) 333-0891

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Psychologist 103T00000X
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Family Medicine Physician 207Q00000X
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

2230 W Chapman Ave Ste 210C
Orange, CA 92868-2316

Mailing address

PO Box 6080
Anaheim, CA 92816-0080
Phone (714) 333-0891

Other practice location 1

1101 California Ave Ste 100-18
Corona, CA 92881-6470
Phone (714) 333-0891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240819000273 CA Part B Supplier - Clinic/Group Practice 7517405806 Receives reassigned benefits from 19 practitioners
Practice locations: Anaheim, CA; Colton, CA; Corona, CA; Orange, CA

National Provider Directory

National Provider Directory

Locations

160 S Old Springs Rd
Ste 135C
Anaheim, CA 92808

1101 California Ave
Ste 10018
Corona, CA 92881
Phone (714) 712-0711

2230 W Chapman Ave
Ste 210C
Orange, CA 92868
Phone (714) 248-3764

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1699472183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6080",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928160080",
            "telephone_number": "714-333-0891",
            "fax_number": "951-666-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE STE 210C",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682316",
            "telephone_number": "714-333-0891",
            "fax_number": "951-666-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 California Ave Ste 100-18",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928816470",
            "country_code": "US",
            "telephone_number": "714-333-0891",
            "fax_number": "951-666-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAINIAC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "ZAMIL",
        "authorized_official_first_name": "TAQIALDEEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-333-0891",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.