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SOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC.
NPI 1639461825
Psychiatry & Neurology - Neurology in Pasadena, CA

Active since May 06, 2011CLIA 05D2297938 · Waiver
625 S FAIR OAKS AVE, SUITE 325, PASADENA, CA 91105(626) 535-9344(626) 535-9387 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 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 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

NPI1639461825
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSOUTHERN CALIFORNIA NEUROLOGY MEDICAL GROUP, INC.
Location Address625 S FAIR OAKS AVE, SUITE 325Pasadena, CA 91105-2613
Mailing Address625 S Fair Oaks Ave, Suite 325Pasadena, CA 91105-2613 · (626) 535-9344 · Fax (626) 535-9387
Phone(626) 535-9344
Fax(626) 535-9387
Organization SubpartNo
Authorized OfficialYafa MinazadOwner · (626) 535-9344
Enumeration DateMay 6, 2011
Last NPPES UpdateOctober 25, 2025
NPPES CertifiedOctober 25, 2025
✔ NPI 1639461825 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.
625 S FAIR OAKS AVE, Pasadena, CA 91105
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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

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, CA
Active · expires Jan 23, 2028
CLIA Number05D2297938
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorArbi Ohanian
Laboratory Phone(818) 636-7820
Laboratory LocationSouthern California Neurology Medical Group625 S Fair Oaks Ave Ste 325, Pasadena, CA 91105
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

ARTIN NAZARIAN MD A PROFESSIONAL CORPORATION
Internal Medicine
625 S FAIR OAKS AVE, 215
PASADENA, CA 91105
Los Angeles County (626) 344-0039
CHANNARA TEP
Behavior Analyst
625 S FAIR OAKS AVE, SUITE 200
PASADENA, CA 91105
Los Angeles County (323) 341-5580
SARA Y GASPARD M.D.
Dermatology
625 S FAIR OAKS AVE, #200
PASADENA, CA 91105
Los Angeles County (626) 793-7790
P & K PHARMACY, INC.
Pharmacist
625 S FAIR OAKS AVE, SUITE 125
PASADENA, CA 91105
Los Angeles County (626) 795-5956
SHUMIN ZHEN NP
Nurse Practitioner (Acute Care)
625 S FAIR OAKS AVE, SUITE 215
PASADENA, CA 91105
Los Angeles County (626) 793-2885
DR. MARTA L. MORA M.D.
Ophthalmology
625 S FAIR OAKS AVE, SUITE 235
PASADENA, CA 91105
Los Angeles County (626) 796-7006
DR. MAYER RASHTIAN M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
625 S FAIR OAKS AVE, SUITE 215
PASADENA, CA 91105
Los Angeles County (626) 793-4139
MISS JAEYOON UM
Rehabilitation Practitioner
625 S FAIR OAKS AVE, STE 300
PASADENA, CA 91105
Los Angeles County (626) 395-7100

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 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.

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 9 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.