1. Home
  2. Directory
  3. California
  4. La Jolla
  5. Psychiatry Neurology
  6. NPI Profile

SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY
NPI 1114271665
Psychiatry & Neurology - Neurology in La Jolla, CA

Active since November 06, 2012
4275 EXECUTIVE SQ STE 200, LA JOLLA, CA 92037(619) 403-1701(619) 810-2863 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern California Neurology And Psychiatry NPPES

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

SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY (NPI 1114271665) is a healthcare organization registered as a neurology in La Jolla, California and active in the NPI registry since November 2012. The organization lists Panna Ramanlal Shah, Physician, as its authorized official.

NPPES Registry Identity

NPI1114271665
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY
Location Address4275 EXECUTIVE SQ STE 200La Jolla, CA 92037-1476
Mailing Address1212 San Dieguito DrEncinitas, CA 92024-5115 · (619) 403-1701 · Fax (619) 810-2863
Phone(619) 403-1701
Fax(619) 810-2863
Organization SubpartNo
Authorized OfficialPanna Ramanlal ShahPhysician · (619) 403-1701
Enumeration DateNovember 6, 2012
✔ NPI 1114271665 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 · C53290
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.

4275 EXECUTIVE SQ STE 200, La Jolla, CA 92037
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

FLAGSTAFF NEUROLOGY
Psychiatry & Neurology (Neurology)
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037
San Diego County (619) 403-1701
GRISELDA GONZALEZ GRANADOS
Dentist
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037
San Diego County (800) 743-3900
KALIMAH AMENRA
Counselor (Mental Health)
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037
San Diego County (267) 443-8464
MILAN DENTAL
Dentist
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037
San Diego County (619) 488-3200
SANDRA NUNEZ MFT
Marriage & Family Therapist
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037
San Diego County (619) 481-1725
SABRINA VALDEZ LICSW
Counselor (Mental Health)
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037
San Diego County (858) 318-7294

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 Southern California Neurology And Psychiatry's NPI number?

The NPI number for Southern California Neurology And Psychiatry is 1114271665. It was assigned to this organization in the NPPES registry on November 6, 2012.

Where is Southern California Neurology And Psychiatry located?

Southern California Neurology And Psychiatry is located at 4275 Executive Sq Ste 200, La Jolla, CA 92037. The listed phone number is (619) 403-1701.

What is Southern California Neurology And Psychiatry'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 Southern California Neurology And Psychiatry was last updated on November 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.