NPIMap

Organization Active NPI

Cortica Healthcare Inc

Doing business as Pediatric Neurology Therapeutics PC

  • Health Service Clinic/Center
  • San Diego, CA
National Provider Identifier
1801288535
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CORTICA HEALTHCARE INC
Doing business as
Pediatric Neurology Therapeutics PC
Practice address
6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724
Phone
(858) 758-7842
Fax
(858) 952-0502
NPI assigned
Mar 4, 2015
Last updated
Dec 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Dr. Suzanne Goh, M.D.
Title
Owner
Phone
(858) 216-8837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724

Mailing address

6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724
Phone (858) 216-8837

Other practice location 1

2625 Townsgate Rd Ste 102
Westlake Village, CA 91361-5726
Phone (805) 413-3009

Other practice location 2

4000 Civic Center Dr Ste 100
San Rafael, CA 94903-4151
Phone (628) 877-0040

Other practice location 3

1320 Willow Pass Rd Ste 660
Concord, CA 94520-5232
Phone (925) 494-9039

Other practice location 4

5870 El Camino Real Ste 101
Carlsbad, CA 92008-8816
Phone (760) 539-5818

Other practice location 5

2500 Redhill Ave Ste 100
Santa Ana, CA 92705-5518
Phone (949) 748-8571

Other practice location 6

30131 Town Center Dr Ste 135
Laguna Niguel, CA 92677-2010
Phone (949) 594-4455

Other practice location 7

21515 Hawthorne Blvd Ste Gl-100
Torrance, CA 90503-6501
Phone (424) 571-2618

Other practice location 8

611 N Brand Blvd Ste 100
Glendale, CA 91203-3240
Phone (747) 286-2600

Other names 1

  • Pediatric Neurology Therapeutics PC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2274367Cortica Healthcare Inc Marin4000 Civic Center Dr Ste 100, San Rafael, CA 94903Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

1320 Willow Pass Rd
Ste 660
Concord, CA 94520
Phone (925) 494-9039

30131 Town Center Dr
Ste 135
Laguna Niguel, CA 92677
Phone (949) 363-9595

10201 Wateridge Cir
Ste 450
San Diego, CA 92121

21515 Hawthorne Blvd
Ste GL100
Torrance, CA 90503
Phone (424) 571-2618

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 618

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 618

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1801288535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 CORNERSTONE CT E STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213724",
            "telephone_number": "858-216-8837",
            "fax_number": "888-383-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 CORNERSTONE CT E STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213724",
            "telephone_number": "858-758-7842",
            "fax_number": "858-952-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Townsgate Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913615726",
            "country_code": "US",
            "telephone_number": "805-413-3009",
            "fax_number": "805-413-4462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Civic Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949034151",
            "country_code": "US",
            "telephone_number": "628-877-0040",
            "fax_number": "628-877-0047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Willow Pass Rd Ste 660",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205232",
            "country_code": "US",
            "telephone_number": "925-494-9039",
            "fax_number": "925-854-5897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5870 El Camino Real Ste 101",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920088816",
            "country_code": "US",
            "telephone_number": "760-539-5818",
            "fax_number": "760-539-5813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Redhill Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927055518",
            "country_code": "US",
            "telephone_number": "949-748-8571",
            "fax_number": "949-748-8602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30131 Town Center Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926772010",
            "country_code": "US",
            "telephone_number": "949-594-4455",
            "fax_number": "949-748-8602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21515 Hawthorne Blvd Ste Gl-100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905036501",
            "country_code": "US",
            "telephone_number": "424-571-2618",
            "fax_number": "424-571-2339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 N Brand Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912033240",
            "country_code": "US",
            "telephone_number": "747-286-2600",
            "fax_number": "747-204-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORTICA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-216-8837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Neurology Therapeutics PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Neurology Therapeutics PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.