SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC.
NPI 1639461825
Psychiatry & Neurology - Neurology in Pasadena, CA
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 1639461825) is a healthcare organization registered as a neurology in Pasadena, California and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Yafa Minazad, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
11Medicare 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, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2297938
Southern California Neurology Medical Group · Pasadena, CAFrequently 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 1639461825. It was assigned to this organization in the NPPES registry on May 6, 2011.
Where is Southern California Neurology Medical Group, Inc. located?
Southern California Neurology Medical Group, Inc. is located at 625 S Fair Oaks Ave Suite 325, Pasadena, CA 91105. 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, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern California Neurology Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2297938) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern California Neurology Medical Group, Inc. was last updated on October 25, 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.
# Southern California Neurology Medical Group, Inc. · NPI 1639461825
Neurology organization in Pasadena, California. Organization record, active in the CMS NPPES registry since May 6, 2011.
## Identity
- **NPI:** 1639461825 (Entity type: Organization)
- **Enumerated:** May 6, 2011
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **Organization subpart:** No
- **Authorized official:** Yafa Minazad, OWNER
## Practice location
- **Address:** 625 S FAIR OAKS AVE, SUITE 325, Pasadena, CA 91105-2613
- **Phone:** (626) 535-9344 · **Fax:** (626) 535-9387
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (6), Clinical Psychologist (3), Internal Medicine (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639461825) · Data from the CMS NPPES public registry.