Organization Active NPI

Concussion Medical Clinics

  • Neurology Physician
  • Rocklin, CA
National Provider Identifier
1730674433
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CONCUSSION MEDICAL CLINICS
Practice address
5800 Stanford Ranch Rd Ste 800
Rocklin, CA 95765-4387
Phone
(916) 836-8500
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Ashutosh Raina, MDNPI 1477787794
Title
Owner
Phone
(916) 685-6870

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

5800 Stanford Ranch Rd Ste 800
Rocklin, CA 95765-4387

Mailing address

5800 Stanford Ranch Rd Ste 800
Rocklin, CA 95765-4387
Phone (916) 836-8500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1730674433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD STE 800",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654387",
            "telephone_number": "916-836-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD STE 800",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654387",
            "telephone_number": "916-836-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCUSSION MEDICAL CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "RAINA",
        "authorized_official_first_name": "ASHUTOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-685-6870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.