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NEUROCENTER MEDICAL CLINIC INC
NPI 1770685968
Psychiatry & Neurology - Neurology in Murrieta, CA

Active since September 01, 2006
25485 MEDICAL CENTER DR, #108, MURRIETA, CA 92562(951) 696-1818(951) 696-2939 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Neurocenter Medical Clinic Inc NPPES

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

NEUROCENTER MEDICAL CLINIC INC (NPI 1770685968) is a healthcare organization registered as a neurology in Murrieta, California and active in the NPI registry since September 2006. The organization lists Raja B Boutros, Owner, as its authorized official.

NPPES Registry Identity

NPI1770685968
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNEUROCENTER MEDICAL CLINIC INC
Location Address25485 MEDICAL CENTER DR, #108Murrieta, CA 92562-6900
Mailing AddressP.o Box 2770Temecula, CA 92593-2770 · (951) 696-1818 · Fax (951) 696-2939
Phone(951) 696-1818
Fax(951) 696-2939
Organization SubpartNo
Authorized OfficialRaja B BoutrosOwner · (951) 696-1818
Enumeration DateSeptember 1, 2006
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1770685968 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 CA · F43949
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.
25485 MEDICAL CENTER DR, Murrieta, CA 92562
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Other Identifiers 5

Other930048312CA · Railroad Medicare #
OtherZZZ094462CA · Blue Cross Group Id #
MedicaidGR0091910CA
Other90050380CA · Pacificare Id#
Other0693834CA · Medical Id #

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)

Neurocenter Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Neurocenter Medical Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raja Boutros, M.D.
Neurology
NPI 1265535199
25485 MEDICAL CENTER DR #208
Murrieta, CA 92562
(951) 696-1818
✔ PECOS✔ Accepts MedicareSame address

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 Neurocenter Medical Clinic Inc's NPI number?

The NPI number for Neurocenter Medical Clinic Inc is 1770685968. It was assigned to this organization in the NPPES registry on September 1, 2006.

Where is Neurocenter Medical Clinic Inc located?

Neurocenter Medical Clinic Inc is located at 25485 Medical Center Dr #108, Murrieta, CA 92562. The listed phone number is (951) 696-1818.

What is Neurocenter Medical Clinic Inc's specialty?

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

Is Neurocenter Medical Clinic Inc enrolled in Medicare?

Yes. Neurocenter Medical Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neurocenter Medical Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Neurocenter Medical Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neurocenter Medical Clinic Inc was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.