Brainiac Medical Corporation
Organization Active NPI Psychiatry Physician · Colton, CA
NPI 1699472183 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1699472183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- BRAINIAC MEDICAL CORPORATION
- Practice address
- 1007 E Cooley Dr Ste 111
Colton, CA 92324-3901 - Phone
- (714) 333-0891
- Fax
- (951) 666-3501
- NPI assigned
- Feb 14, 2023
- Organization subpart
- No
Authorized official
- Name
- Taqialdeen Zamil, NP
- Title
- Cfo
- Phone
- (714) 333-0891
Practitioners 47
-
Abedallah M Abu Eid, PMHNP
-
Lina I. Augius, M.D.
-
Mariam Fazil-Nageer, PMHNP-BC
-
Samir Hamed, PMHNP
-
Carla C Hammond, M.D.
-
Joshua A. Israel, MD
-
Barbara C Kenerson, PMHNP-BC
-
Allison Lai, NP, RN
-
Pei Yu Peggy Liao, LCSW
-
Sara Lingscheid, STUDENT
-
Michelle P Pent, MD
-
Charles Scribner, NP
-
Kathy Wei, LCSW
-
Taqialdeen Zamil, PMHNP-BC
-
Codie Jordan Vassar, M.D
-
Dilara Aslan, PMHNP
-
Miguel Guillermo, PMNHNP
-
Charlene Lau, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
160 S Old Springs Rd
Ste 135C
Anaheim, CA 92808
1007 E Cooley Dr
Ste 111
Colton, CA 92324
Phone (909) 429-3244
1101 California Ave
Ste 10018
Corona, CA 92881
Phone (714) 712-0711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Psychiatry Physician |
2084P0800X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
1007 E Cooley Dr Ste 111
Colton, CA 92324-3901
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
Other practice location 2
2230 W Chapman Ave Ste 210C
Orange, CA 92868-2316
Phone (714) 333-0891
Other providers in Colton, CA
- Katherine Elizabeth Bourbeau-Medinilla
- Nina Nicole Bowman
- Farshid Bozorgnia
- Andreniki Bradbury
- Braincom Advanced Nursing Corporation
- Brandon J Inc
- Brandon J Inc/Serenity Place
- Brandon J Inc/Serenity Place
- Theresa Christine Brandon
- Preciosa M Brandow
All providers in Colton, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.