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SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC.
NPI 1407236466
Psychiatry & Neurology - Neurology in Glendale, CA

Active since June 04, 2015
416 E COLORADO ST STE A, GLENDALE, CA 91205(626) 535-9344 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern California Neurology Medical Group, Inc. NPPES

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

SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC. (NPI 1407236466), doing business as Southern California Neurology Consultants, is a healthcare organization registered as a neurology in Glendale, California and active in the NPI registry since June 2015. The organization lists Yafa Minazad, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407236466
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC.
Location Address416 E COLORADO ST STE AGlendale, CA 91205-5100
Mailing Address416 E. Glendale St., Suite AGlendale, CA 91205-5100
Phone(626) 535-9344
Organization SubpartYesParent: Southern California Neurology Consultants
Authorized OfficialYafa MinazadCeo · (626) 535-9344
Enumeration DateJune 4, 2015
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1407236466 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.
416 E COLORADO ST STE A, Glendale, CA 91205
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Other Names 1

Doing Business AsSouthern California Neurology Consultants

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern California Neurology Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Southern California Neurology Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Neurology6
Clinical Psychologist3
Internal Medicine1
Nurse Practitioner1

Clinicians, nearest first (11)

Yafa Minazad, D.O.
Neurology
NPI 1982636122
625 S FAIR OAKS AVE SUITE 325
Pasadena, CA 91105
(626) 535-9344
✔ PECOS✔ Accepts Medicare5.7 mi
Naveetha Nandakumar, DO
Neurology
NPI 1265992630
625 S FAIR OAKS AVE STE 325
Pasadena, CA 91105
(626) 535-9344
✔ PECOS✔ Accepts Medicare5.7 mi
Arbi Ohanian, M.D.
Neurology
NPI 1982894606
625 S FAIR OAKS AVE SUITE 325
Pasadena, CA 91105
(626) 535-9344
✔ PECOS✔ Accepts Medicare5.7 mi
Kasalyn Thuvamontolrat, NP
Nurse Practitioner
NPI 1396282711
625 S FAIR OAKS AVE SUITE 325
Pasadena, CA 91105
(626) 535-9344
✔ PECOS✔ Accepts Medicare5.7 mi
Adena Shahinian, DO
Neurology
NPI 1457708182
625 S FAIR OAKS AVE STE 325
Pasadena, CA 91105
(626) 535-9344
✔ PECOS✔ Accepts Medicare5.7 mi
Holly Edge-Booth, PH.D.
Clinical Psychologist
NPI 1144393778
200 E DEL MAR BLVD SUITE 210
Pasadena, CA 91105
(626) 818-2748
✔ PECOS✔ Accepts Medicare6.0 mi
Edgar Olivas, MD
Neurology
NPI 1770902611
713 W DUARTE RD # G316
Arcadia, CA 91007
(626) 566-2866
✔ PECOS✔ Accepts Medicare11 mi
Katie Troxell, PHD
Clinical Psychologist
NPI 1730940586
10953 MASSACHUSETTS AVE
Los Angeles, CA 90024
(714) 914-6576
✔ PECOS✔ Accepts Medicare13 mi
Wael El-Nachef, M.D.
Internal Medicine
NPI 1285951905
1000 W CARSON ST.
Torrance, CA 90509
(310) 222-2409
✔ PECOS✔ Accepts Medicare22 mi
Kaitlin O'brien, PH.D.
Clinical Psychologist
NPI 1194468439
940 S COAST DR STE 225
Costa Mesa, CA 92626
(949) 743-1457
✔ PECOS37 mi
Tyler Cheung, M.D.
Neurology
NPI 1790993590
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 322-5000
✔ PECOS✔ Accepts Medicare1,778 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Group, Inc.'s NPI number?

The NPI number for Southern California Neurology Medical Group, Inc. is 1407236466. It was assigned to this organization in the NPPES registry on June 4, 2015. The provider is doing business as Southern California Neurology Consultants.

Where is Southern California Neurology Medical Group, Inc. located?

Southern California Neurology Medical Group, Inc. is located at 416 E Colorado St Ste A, Glendale, CA 91205. The listed phone number is (626) 535-9344.

What is Southern California Neurology Medical Group, Inc.'s specialty?

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

Is Southern California Neurology Medical Group, Inc. enrolled in Medicare?

Yes. Southern California Neurology Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Neurology Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern California Neurology Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (6), Clinical Psychologist (3) and Internal Medicine (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern California Neurology Medical Group, Inc. was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.