Organization Active NPI

Valencia Neurology Medical Group Inc

  • Neurology Physician
  • Newhall, CA
National Provider Identifier
1952477275
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
VALENCIA NEUROLOGY MEDICAL GROUP INC
Practice address
23928 Lyons Ave
#102
Newhall, CA 91321
Phone
(661) 222-2326
Fax
(661) 222-9444
NPI assigned
Nov 28, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Surishain Dhillon, MD
Title
MD
Phone
(661) 222-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

23928 Lyons Ave
#102
Newhall, CA 91321

Mailing address

23928 Lyons Ave
#102
Newhall, CA 91321
Phone (661) 222-2326

Other identifiers 1

IdentifierTypeStateIssuer
6507231OtherMEDICAL

National Provider Directory

National Provider Directory

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)…

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1952477275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE",
            "address_2": "#102",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-222-2326",
            "fax_number": "661-222-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE",
            "address_2": "#102",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-222-2326",
            "fax_number": "661-222-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA NEUROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "SURISHAIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "661-222-2326",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "6507231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.