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FLAGSTAFF NEUROLOGY
NPI 1518136241
Psychiatry & Neurology - Neurology in La Jolla, CA

Active since February 27, 2008
4275 EXECUTIVE SQ STE 200, LA JOLLA, CA 92037(619) 403-1701 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Flagstaff Neurology NPPES

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

FLAGSTAFF NEUROLOGY (NPI 1518136241) is a healthcare organization registered as a neurology in La Jolla, California and active in the NPI registry since February 2008. The organization lists Panna Shah, Physiccian Owner, as its authorized official.

NPPES Registry Identity

NPI1518136241
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameFLAGSTAFF NEUROLOGY
Location Address4275 EXECUTIVE SQ STE 200La Jolla, CA 92037-1476
Mailing Address618 N Humphreys StFlagstaff, AZ 86001-3024 · (928) 774-2459
Phone(619) 403-1701
Organization SubpartNo
Authorized OfficialPanna ShahPhysiccian Owner · (619) 403-1701
Enumeration DateFebruary 27, 2008
Last NPPES UpdateAugust 21, 2012
✔ NPI 1518136241 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 AZ · 33297
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
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Other Identifiers 1

Medicare PINZ100913AZ

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 6

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

SOUTHERN CALIFORNIA NEUROLOGY AND PSYCHIATRY
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
SANDRA NUNEZ MFT
Marriage & Family Therapist
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037
San Diego County (619) 481-1725
MILAN DENTAL
Dentist
4275 EXECUTIVE SQ STE 200
LA JOLLA, CA 92037
San Diego County (619) 488-3200
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 Flagstaff Neurology's NPI number?

The NPI number for Flagstaff Neurology is 1518136241. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Flagstaff Neurology located?

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

What is Flagstaff Neurology'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 Flagstaff Neurology was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.