KAIZEN BRAIN CENTER
NPI 1891230868
Psychiatry & Neurology - Brain Injury Medicine in San Diego, CA
- Organization
- Psychiatry & Neurology
- Brain Injury Medicine
- CLIA Number: 05D2225377
- CLIA Cert. Type: Other - RESEARCH CENTER
- CLIA Exp. Date: 05-19-2027
About KAIZEN BRAIN CENTER
This page provides the complete NPI Profile along with additional information for Kaizen Brain Center, a provider established in San Diego, California operating as a Psychiatry & Neurology, focusing in brain injury medicine . The healthcare provider is registered in the NPI registry with number 1891230868 assigned on December 2016. The practitioner's primary taxonomy code is 2084P0301X with license number A124696 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Memory Concussion Center. The authorized official of this NPI record is Mohammed Muzammil Ahmed M.d. (Director)
- NPI
- 1891230868 Verify this NPI
- Provider Legal Name
- KAIZEN BRAIN CENTER
- Other Organization Name
- MEMORY CONCUSSION CENTER
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 4510 EXECUTIVE DR SUITE 107 SAN DIEGO, CA 92121
- Location Phone
- (949) 295-6693
- Location Fax
- (858) 779-2511
- Mailing Address
- 9247 PIATTO LN SAN DIEGO, CA 92108
- Mailing Phone
- (949) 295-6693
- Mailing Fax
- (858) 779-2511
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-30-2016
- Last Update Date
- 12-30-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Brain Injury Medicine
- Taxonomy Code
- 2084P0301X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A124696
- License State
- CA
- Taxonomy Description
- A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084B0040X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | A124696 (CA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2225377
- Facility Type
- Other - RESEARCH CENTER
- Certificate Effective Date
- May 20, 2025
- Certificate Expiration Date
- May 19, 2027
- Laboratory Director
- AHMED MOHAMMED
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kaizen Brain Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for KAIZEN BRAIN CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
SAN DIEGO, CA 92121
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891230868, enumerated as an "organization" on December 30, 2016.
The provider is located at 4510 EXECUTIVE DR SUITE 107 SAN DIEGO, CA 92121 and the phone number is (949) 295-6693.
Psychiatry & Neurology with taxonomy code 2084P0301X and a focus in Brain Injury Medicine.
