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FOOTHILLS NEUROLOGICAL MEDICAL GP
NPI 1154317584
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in San Dimas, CA

Active since September 21, 2005
1330 W COVINA BLVD, #103, SAN DIMAS, CA 91773(909) 592-2145(909) 599-6217 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Foothills Neurological Medical Gp NPPES

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

FOOTHILLS NEUROLOGICAL MEDICAL GP (NPI 1154317584) is a healthcare organization registered as a neurology with special qualifications in child neurology in San Dimas, California and active in the NPI registry since September 2005. The organization lists Gail E Young, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154317584
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameFOOTHILLS NEUROLOGICAL MEDICAL GP
Location Address1330 W COVINA BLVD, #103San Dimas, CA 91773-3200
Mailing Address1330 W Covina Blvd, #103San Dimas, CA 91773-3200 · (909) 592-2145 · Fax (909) 599-6217
Phone(909) 592-2145
Fax(909) 599-6217
Organization SubpartNo
Authorized OfficialGail E YoungAdministrator · (909) 592-2145
Enumeration DateSeptember 21, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1154317584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in CA · A43523
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License A33406 (CA)
1330 W COVINA BLVD, San Dimas, CA 91773
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Other Identifiers 2

Medicaid00A334060CA
Medicaid00A435230CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

DR. WANDA ANN BRADY MD
Obstetrics & Gynecology
1330 W COVINA BLVD, SUITE 201
SAN DIMAS, CA 91773
Los Angeles County (909) 592-9712
SOUTHERN CALIFORNIA ASSOCIATED NEUROLOGISTS IPA INC
Health Maintenance Organization
1330 W COVINA BLVD, SUITE 103
SAN DIMAS, CA 91773
Los Angeles County (909) 982-2719
STEPHEN SIU MENG LAU PHARM.D.
Pharmacist
1330 W COVINA BLVD
SAN DIMAS, CA 91773
Los Angeles County (909) 599-8369
HABIB ALI ISMAIL MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1330 W COVINA BLVD, STE 103
SAN DIMAS, CA 91773
Los Angeles County (909) 592-2145
MOHSEN I ALI M D INC
Psychiatry & Neurology (Neurology)
1330 W COVINA BLVD, SUITE 103
SAN DIMAS, CA 91773
Los Angeles County (909) 592-2145
VICTOR MORALES MD
Obstetrics & Gynecology
1330 W COVINA BLVD, SUITE 201
SAN DIMAS, CA 91773
Los Angeles County (626) 331-6411
VALLEY GASTROENTEROLGY CONSULTANTS MEDICAL CENTER, INC.
Internal Medicine (Gastroenterology)
1330 W COVINA BLVD, SUITE 203
SAN DIMAS, CA 91773
Los Angeles County (909) 592-6157
RAYMOND ESPARZA M.D.
Internal Medicine
1330 W COVINA BLVD, #203
SAN DIMAS, CA 91773
Los Angeles County (909) 394-0044

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 Foothills Neurological Medical Gp's NPI number?

The NPI number for Foothills Neurological Medical Gp is 1154317584. It was assigned to this organization in the NPPES registry on September 21, 2005.

Where is Foothills Neurological Medical Gp located?

Foothills Neurological Medical Gp is located at 1330 W Covina Blvd #103, San Dimas, CA 91773. The listed phone number is (909) 592-2145.

What is Foothills Neurological Medical Gp's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Foothills Neurological Medical Gp was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.