Southern California Neurosurgical Associates, Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SOUTHERN CALIFORNIA NEUROSURGICAL ASSOCIATES, INC

Practice address

630 S Raymond Ave
Suite 330
Pasadena, CA 91105-3278

Phone

(626) 793-8194

Fax

(626) 793-3664

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Leroy Caton III, M.D.

Title

President

Phone

(626) 793-8194

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celene Bardales Mulholland, M.D., MPH

  • Neurological Surgery Physician
  • Pasadena, CA
  • NPI 1467746453
  Medicare reassignment Care Compare group
• Ian Beaudoin Ross, M.D.

  • Neurological Surgery Physician
  • Pasadena, CA
  • NPI 1003853730
  Medicare reassignment Care Compare group
• Richard Alan Spitzer, M.D.

  • Neurology Physician
  • Pasadena, CA
  • NPI 1285775353
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1922052141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "SUITE 330",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-793-8194",
            "fax_number": "626-793-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "SUITE 330",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053278",
            "telephone_number": "626-793-8194",
            "fax_number": "626-793-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA NEUROSURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "CATON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-793-8194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G875660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southern California Mental Health Associates
• Southern California Neurology Medical Group, Inc.
• Southern California Permanente Medical Group
• Southern California Pioneer Health PC
• Southern California Psychodiagnostics, LLC
• Southern California Surgical Specialists, Inc
• Southern California Surgical Specialists, Inc.

• 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 Dec 12, 2007; 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.