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: July 19, 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
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

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
822 PINE ST
MOUNT SHASTA, CA 96067
Clinic/Center (Primary Care)
822 PINE ST
MOUNT SHASTA, CA 96067
General Practice
822 PINE ST
MOUNT SHASTA, CA 96067
Clinic/Center (Federally Qualified Health Center (FQHC))
822 PINE ST
MOUNT SHASTA, CA 96067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114239720, enumerated as an "organization" on July 12, 2010.

The provider is located at 822 PINE ST MOUNT SHASTA, CA 96067 and the phone number is (530) 926-1039.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.