Organization Active NPI

California Neurological Center, Inc.

  • Neurology Physician
  • Thousand Oaks, CA
National Provider Identifier
1821239252
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A86956 Issued in CA
Legal business name
CALIFORNIA NEUROLOGICAL CENTER, INC.
Practice address
227 W Janss Rd Ste 135
Thousand Oaks, CA 91360-1857
Phone
(415) 377-2837
Fax
(650) 618-0485
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Dr. Dolly Banerjee Roy, MD PHD
Title
Ceo
Phone
(415) 377-2837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A86956 CA Primary

Addresses

Primary practice location

227 W Janss Rd Ste 135
Thousand Oaks, CA 91360-1857

Mailing address

1922 Golden Sky Cir
Westlake Village, CA 91362-5292
Phone (415) 377-2837

Other identifiers 1

IdentifierTypeStateIssuer
W1926200OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

227 W Janss Rd
Ste 135
Thousand Oaks, CA 91360
Phone (805) 373-2890

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1821239252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 GOLDEN SKY CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625292",
            "telephone_number": "415-377-2837",
            "fax_number": "650-618-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD STE 135",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601857",
            "telephone_number": "415-377-2837",
            "fax_number": "650-618-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA NEUROLOGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_middle_name": "BANERJEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-377-2837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A86956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W1926200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.