Organization Active NPI

Neurocare a Medical Corporation

  • Neurology Physician
  • Irvine, CA
National Provider Identifier
1962435230
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROCARE A MEDICAL CORPORATION
Practice address
14150 Culver Dr
Suite 307
Irvine, CA 92604-0323
Phone
(949) 548-4111
Fax
(949) 548-9664
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Mark Vanhouten, MD
Title
President
Phone
(949) 548-4111

Specialties & licenses 1

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

Addresses

Primary practice location

14150 Culver Dr
Suite 307
Irvine, CA 92604-0323

Mailing address

14150 Culver Dr
Suite 307
Irvine, CA 92604-0323
Phone (949) 548-4111

National Provider Directory

National Provider Directory

Locations

14150 Culver Dr
Ste 307
Irvine, CA 92604
Phone (949) 548-4111

361 Hospital Rd
Ste 527
Newport Beach, CA 92663
Phone (949) 500-5440

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1962435230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 CULVER DR",
            "address_2": "SUITE 307",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040323",
            "telephone_number": "949-548-4111",
            "fax_number": "949-548-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 CULVER DR",
            "address_2": "SUITE 307",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040323",
            "telephone_number": "949-548-4111",
            "fax_number": "949-548-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "VANHOUTEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-548-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.