Southern California Neurodiagnostic Center, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUTHERN CALIFORNIA NEURODIAGNOSTIC CENTER, INC

Practice address

5212 Katella Ave
Suite 106
Los Alamitos, CA 90720-2828

Phone

(562) 495-3937

Fax

(562) 206-0371

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Brady Brayton

Title

Office Manager

Phone

(562) 495-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mohan Nair, MD

  • Child & Adolescent Psychiatry Physician
  • Long Beach, CA
  • NPI 1407827769
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1952391989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 THE PROMENADE N STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024728",
            "telephone_number": "562-495-3937",
            "fax_number": "562-206-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE",
            "address_2": "SUITE 106",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202828",
            "telephone_number": "562-495-3937",
            "fax_number": "562-206-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA NEURODIAGNOSTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "BRAYTON",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-495-3937"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "A34249",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Sobrian, REGISTERED NURSE
• Socal Gastroenterology Corp.
• Socal Medical Specialist Medical Corporation
• Dana Son
• Brooklyn Nyela Sosa
• Southern California Urology, Inc.
• Southland Renal Medical Group, Inc.
• Southland Wellness
• Leah Southwick, LMFT
• Dylan Spetzman, PTA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.