KAIZEN BRAIN CENTER
NPI 1891230868
Psychiatry & Neurology - Brain Injury Medicine in San Diego, CA
NPI Status: Active since December 30, 2016
Contact Information
4510 EXECUTIVE DR
SUITE 107
SAN DIEGO, CA
ZIP 92121
Phone: (949) 295-6693
Fax: (858) 779-2511
- 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 9 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
- 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891230868, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
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.
