Southern Counties Neurosurgical Associates Medical Group, Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A55380 Issued in CA

Legal business name

SOUTHERN COUNTIES NEUROSURGICAL ASSOCIATES MEDICAL GROUP, INC

Practice address

630 S Raymond Ave
St 301
Pasadena, CA 91105-3278

Phone

(626) 535-9552

Fax

(626) 535-9505

NPI assigned

Jan 18, 2007

Last updated

Mar 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Igor Fineman, MDNPI 1346250073

Title

Owner

Phone

(626) 535-9552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Igor Fineman, M.D.

  • Neurological Surgery Physician
  • Pasadena, CA
  • NPI 1346250073
  Medicare reassignment Care Compare group Authorized official
• Jennifer Alice Birch, N.P.

  • Acute Care Nurse Practitioner
  • Pasadena, CA
  • NPI 1316116932
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1871646414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "ST 301",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-535-9552",
            "fax_number": "626-535-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "ST 301",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-535-9552",
            "fax_number": "626-535-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COUNTIES NEUROSURGICAL ASSOCIATES MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "FINEMAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-535-9552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A55380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Pioneer Health PC
• Southern California Psychodiagnostics, LLC
• Southern California Surgical Specialists, Inc
• Southern California Surgical Specialists, Inc.
• Southern California TMS Center Inc
• John Sovec, LMFT
• Zetha Sovyanhadi, MD
• Dorothea Elisabeth Spambalg, M.D.
• Joann Spangler
• Sean Lee Sparks, LMFT,80365

• Neurological Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.