Organization Active NPI

Neurology Associates of Southern California PC

  • Neurology Physician
  • Walnut Park, CA
National Provider Identifier
1841179744
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA PC
Practice address
7721 Pacific Blvd
Walnut Park, CA 90255-6301
Phone
(310) 295-0450
Fax
(310) 525-5862
NPI assigned
Aug 27, 2025
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Rene Simon
Title
President
Phone
(310) 295-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

7721 Pacific Blvd
Walnut Park, CA 90255-6301

Mailing address

8530 Wilshire Blvd Ste 420
Beverly Hills, CA 90211-3115
Phone (800) 437-3507

Other practice location 1

8530 Wilshire Blvd Ste 420
Beverly Hills, CA 90211-3115
Phone (310) 295-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260407001146 CA Part B Supplier - Clinic/Group Practice 8527533645 Receives reassigned benefits from 2 practitioners
Practice locations: Walnut Park, CA

National Provider Directory

National Provider Directory

Locations

8530 Wilshire Blvd
Ste 420
Beverly Hills, CA 90211
Phone (310) 295-0450

7721 Pacific Blvd
Walnut Park, CA 90255
Phone (310) 295-0450

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1841179744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 WILSHIRE BLVD STE 420",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113115",
            "telephone_number": "800-437-3507",
            "fax_number": "888-642-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 PACIFIC BLVD",
            "city": "WALNUT PARK",
            "state": "CA",
            "postal_code": "902556301",
            "telephone_number": "310-295-0450",
            "fax_number": "310-525-5862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8530 Wilshire Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902113115",
            "country_code": "US",
            "telephone_number": "310-295-0450",
            "fax_number": "310-525-5862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF SOUTHERN CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-295-0450"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.