SAN DIEGO PEDIATRIC NEUROLOGY, INC. - NPI 1306433032 - Psychiatry & Neurology in San Diego, CA

Q: What is San Diego Pediatric Neurology, Inc.'s NPI number?

The NPI number for San Diego Pediatric Neurology, Inc. is 1306433032. It was assigned to this organization in the NPPES registry on December 29, 2020.

Q: What is San Diego Pediatric Neurology, Inc.'s specialty?

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

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About San Diego Pediatric Neurology, Inc. NPPES

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

SAN DIEGO PEDIATRIC NEUROLOGY, INC. (NPI 1306433032) is a healthcare organization registered as a neurology in San Diego, California and active in the NPI registry since December 2020. The organization lists Michaela Cavanaugh, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1306433032

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameSAN DIEGO PEDIATRIC NEUROLOGY, INC.

Location Address3003 HEALTH CENTER DRSan Diego, CA 92123-2700

Mailing Address8555 Aero Dr Ste 340San Diego, CA 92123-1740 · (858) 384-7828 · Fax (858) 598-6344

Phone(858) 939-4185

Fax(858) 939-4972

Organization SubpartNo

Authorized OfficialMichaela CavanaughPractice Administrator · (858) 598-5472

Enumeration DateDecember 29, 2020

Last NPPES UpdateDecember 30, 2020

NPPES CertifiedDecember 30, 2020

✔ NPI 1306433032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

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.

3003 HEALTH CENTER DR, San Diego, CA 92123

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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 20

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

AMY CROWLEY

Registered Nurse (Neonatal Intensive Care)