Active NPI
Santa Clarita Neurology Medical Group Inc
- Neurology Physician
- Valencia, CA
National Provider Identifier
1831104629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G45233
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Clifford Schultz, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0056130 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Valencia, CA
- NPI 1568411189
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
- Santa Clarita Family Optometry, Inc
- Santa Clarita Hearing Center, Incorporated (Santa Clarita Hearing Center)
- Santa Clarita Home Health Nurses Inc
- Santa Clarita Hospice Care Inc
- Santa Clarita Kidney Center, Inc.
- Santa Clarita Pediatrics
- Santa Clarita Procedure Centers
- Santa Clarita Valley Eye Medical Group Inc (SCV Eye Center)
- Sandra Santana, PSY.D.
- Aileen Santos
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.