Active NPI
Agar Neuropsychology Group, Inc.
- Clinical Neuropsychologist
- Irvine, CA
National Provider Identifier
1821528118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- AGAR NEUROPSYCHOLOGY GROUP, INC.
- Practice address
- 19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407 - Phone
- (866) 855-2427
- NPI assigned
- Jun 19, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. C Agar
- Title
- Ceo
- Phone
- (866) 855-2427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
19712 Macarthur Blvd Ste 110
Irvine, CA 92612-2407
Mailing address
2621 Green River Rd Ste 105-301
Corona, CA 92882-7433
Phone (866) 855-2427
National Provider Directory
National Provider DirectoryLocations
2621 Green River Rd
Ste 105301
Corona, CA 92882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1821528118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 GREEN RIVER RD STE 105-301",
"city": "CORONA",
"state": "CA",
"postal_code": "928827433",
"telephone_number": "866-855-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19712 MACARTHUR BLVD STE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122407",
"telephone_number": "866-855-2427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAR NEUROPSYCHOLOGY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-19",
"last_updated": "2022-07-21",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "AGAR",
"authorized_official_first_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-855-2427",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.