Organization Active NPI

Agar Neuropsychology Group, Inc.

  • Clinical Neuropsychologist
  • Irvine, CA
National Provider Identifier
1821528118
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.