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JEFFERSON NEUROLOGY, LLC
NPI 1114239720
Psychiatry & Neurology - Neurology in Mount Shasta, CA

Active since July 12, 2010
822 PINE ST, MOUNT SHASTA, CA 96067(530) 926-1039 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson Neurology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON NEUROLOGY, LLC (NPI 1114239720) is a healthcare organization registered as a neurology in Mount Shasta, California and active in the NPI registry since July 2010. The organization lists Zakir M Ali, Owner, as its authorized official.

NPPES Registry Identity

NPI1114239720
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameJEFFERSON NEUROLOGY, LLC
Location Address822 PINE STMount Shasta, CA 96067-2137
Mailing AddressPo Box 1470Phoenix, OR 97535-1470 · (541) 512-0511 · Fax (541) 512-1689
Phone(530) 926-1039
Organization SubpartNo
Authorized OfficialZakir M AliOwner · (541) 482-5515
Enumeration DateJuly 12, 2010
✔ NPI 1114239720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A88303
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
822 PINE ST, Mount Shasta, CA 96067
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Other Identifiers 1

Medicare PINR153391OR

Group Practice 1

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD CYRUS EASTMAN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
822 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-5261
MCCLOUD HEALTHCARE CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
822 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-6309
MICHAEL STASZEL D.O. P.A
Clinic/Center (Primary Care)
822 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-5261
MR. MICHAEL ZBINIEW STASZEL D.O.
General Practice
822 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 365-4412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jefferson Neurology, LLC's NPI number?

The NPI number for Jefferson Neurology, LLC is 1114239720. It was assigned to this organization in the NPPES registry on July 12, 2010.

Where is Jefferson Neurology, LLC located?

Jefferson Neurology, LLC is located at 822 Pine St, Mount Shasta, CA 96067. The listed phone number is (530) 926-1039.

What is Jefferson Neurology, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Jefferson Neurology, LLC was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.