Organization Active NPI

Santa Clarita Neurology Medical Group Inc

  • Neurology Physician
  • Valencia, CA
National Provider Identifier
1831104629
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G45233 Issued in CA
Legal business name
SANTA CLARITA NEUROLOGY MEDICAL GROUP INC
Practice address
23823 Valencia Blvd Ste 115
Valencia, CA 91355-9509
Phone
(661) 255-5444
Fax
(661) 255-8447
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Dr. Mark Clifford Schultz, MDNPI 1568411189
Title
President
Phone
(661) 255-5444

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: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G45233 CA Primary

Addresses

Primary practice location

23823 Valencia Blvd Ste 115
Valencia, CA 91355-9509

Mailing address

23823 Valencia Blvd Ste 115
Valencia, CA 91355-9509
Phone (661) 255-5444

Other identifiers 1

IdentifierTypeStateIssuer
GR0056130MedicaidCA

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1831104629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD STE 115",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559509",
            "telephone_number": "661-255-5444",
            "fax_number": "661-255-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD STE 115",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913559509",
            "telephone_number": "661-255-5444",
            "fax_number": "661-255-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARITA NEUROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-255-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G45233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.