CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC NPI 1033653571

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) in Rocklin, CA

NPI 1033653571 Organization Psychiatry & Neurology Neurology with Special Qualifications in...

About CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC

Center Of Excellence In Pediatric Neurology Medical Inc is a provider established in Rocklin, California specializing in psychiatry & neurology (neurology with special qualifications in child neurology) . The NPI number of Center Of Excellence In Pediatric Neurology Medical Inc is 1033653571 and was assigned on December 2016. The practitioner's primary taxonomy code is 2084N0402X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Center Of Excellence In Pediatric Neurology Medical Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ashutosh Raina Md (Owner)

NPI

1033653571

Provider NameCENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC
Provider Location Address5800 STANFORD RANCH RD BUILDING 800 ROCKLIN, CA 95765
Provider Mailing Address5800 STANFORD RANCH RD BUILDING 800 ROCKLIN, CA 95765
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-16-2016
Last Update Date12-19-2016


Primary Taxonomy

Taxonomy Code2084N0402X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology with Special Qualifications in Child Neurology
Taxonomy DescriptionA Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Business Address

CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC
5800 STANFORD RANCH RD
BUILDING 800
ROCKLIN, CA
ZIP 95765
Phone: (916) 836-8500
Fax: (916) 758-2924

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Mailing Address

CENTER OF EXCELLENCE IN PEDIATRIC NEUROLOGY MEDICAL INC
5800 STANFORD RANCH RD
BUILDING 800
ROCKLIN, CA
ZIP 95765
Phone: (916) 836-8500
Fax: (916) 758-2924



Authorized Official

Authorized Official Name ASHUTOSH RAINA MD
Authorized Official TitleOWNER
Authorized Official Phone(916) 836-5800

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578636338DR. CLIFFORD THOMAS WONG D.D.S., M.S.D.
Individual
Dentist (Endodontics)5800 STANFORD RANCH RD SUITE 620
ROCKLIN, CA 95765
(916) 435-9939
1679646400JASON A. SCORZA, D.D.S. AND HEATHER R. SMITH, D.D.S., A.D.C.
Organization
Dentist (General Practice)5800 STANFORD RANCH RD SUITE # 110
ROCKLIN, CA 95765
(916) 435-4222
1942338819 KELLY JAY WILSON DDS
Individual
Dentist (General Practice)5800 STANFORD RANCH RD BLDG #900
ROCKLIN, CA 95765
(916) 663-5555
1861514218DR. ALLEN JAMES SANDERS D.D.S.
Individual
Dentist (General Practice)5800 STANFORD RANCH RD SUITE 520
ROCKLIN, CA 95765
(916) 435-9575
1528209491 ANDREA M. RIORDAN D.M.D.
Individual
Dentist (General Practice)5800 STANFORD RANCH RD
ROCKLIN, CA 95765
(916) 435-4222
1578850152DR. JASON A SCORZA D.D.S.
Individual
Dentist5800 STANFORD RANCH RD SUITE 110
ROCKLIN, CA 95765
(916) 435-4222
1386931863DR. HEATHER R SCORZA D.D.S.
Individual
Dentist5800 STANFORD RANCH RD SUITE 110
ROCKLIN, CA 95765
(916) 435-4222
1659705036 ISAAC RICHARD VELOZ CMT
Individual
Massage Therapist5800 STANFORD RANCH RD #610
ROCKLIN, CA 95765
(916) 259-2510
1114355914 STACI SPEARS CMT
Individual
Massage Therapist5800 STANFORD RANCH RD SUITE 610
ROCKLIN, CA 95765
(916) 335-1287
1477787794 ASHUTOSH RAINA M.D.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)5800 STANFORD RANCH RD BLDG 800
ROCKLIN, CA 95765
(916) 259-1099

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.