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KAIZEN BRAIN CENTER
NPI 1891230868
Psychiatry & Neurology - Brain Injury Medicine in San Diego, CA

Active since December 30, 2016CLIA 05D2225377 · Waiver
4510 EXECUTIVE DR, SUITE 107, SAN DIEGO, CA 92121(949) 295-6693(858) 779-2511 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaizen Brain Center NPPES

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

KAIZEN BRAIN CENTER (NPI 1891230868), doing business as Memory Concussion Center, is a healthcare organization registered as a brain injury medicine in San Diego, California and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Mohammed Muzammil Ahmed, Director, as its authorized official.

NPPES Registry Identity

NPI1891230868
Entity TypeOrganization
Primary Taxonomy2084P0301X
Legal Business NameKAIZEN BRAIN CENTER
Location Address4510 EXECUTIVE DR, SUITE 107San Diego, CA 92121-3021
Mailing Address9247 Piatto LnSan Diego, CA 92108-4767 · (949) 295-6693 · Fax (858) 779-2511
Phone(949) 295-6693
Fax(858) 779-2511
Organization SubpartNo
Authorized OfficialMohammed Muzammil AhmedDirector · (866) 277-2659
Enumeration DateDecember 30, 2016
✔ NPI 1891230868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Brain Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0301X
License✔ Licensed in CA · A124696
Definition
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.
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License A124696 (CA)
4510 EXECUTIVE DR, San Diego, CA 92121
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Other Names 1

Former Legal Business NameMemory Concussion Center

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 MULTIPLE 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 05D2225377

Kaizen Brain Center · La Jolla, CA
Active · expires May 19, 2027
CLIA Number05D2225377
Laboratory TypeResearch Center
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorAhmed Mohammed
Laboratory Phone(866) 277-2659
Laboratory LocationKaizen Brain Center4180 La Jolla Village Dr #240, La Jolla, CA 92037
CLIA data matches this NPI record on: Name Phone
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.

DR. TODD BENJAMIN PLUTCHOK D.C.
Chiropractor
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
San Diego County (858) 452-8888
KHRIZNA CHONG MSN, RN, CNS
Clinical Nurse Specialist (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 657-7729
MS. SHARON ESTERS-THAMES RN
Registered Nurse
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 450-5000
MISS KERI ANNE O'CONNOR NP
Nurse Practitioner (Family)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (858) 657-5085
DAVID A LEPAY M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
4510 EXECUTIVE DR, SUITE 2257
SAN DIEGO, CA 92121
San Diego County (858) 550-3850
LISA GUERTIN NP
Nurse Practitioner (Acute Care)
4510 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
MANISH V SHETH MD
Psychiatry & Neurology (Psychiatry)
4510 EXECUTIVE DR, SUITE 115
SAN DIEGO, CA 92121
San Diego County (858) 427-5060
DR. CHAD MICHAEL WELLS D.C.
Chiropractor (Sports Physician)
4510 EXECUTIVE DR, PLAZA 5
SAN DIEGO, CA 92121
San Diego County (858) 452-8888

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 Kaizen Brain Center's NPI number?

The NPI number for Kaizen Brain Center is 1891230868. It was assigned to this organization in the NPPES registry on December 30, 2016. The provider was formerly known as Memory Concussion Center.

Where is Kaizen Brain Center located?

Kaizen Brain Center is located at 4510 Executive Dr Suite 107, San Diego, CA 92121. The listed phone number is (949) 295-6693.

What is Kaizen Brain Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Brain Injury Medicine, with taxonomy code 2084P0301X.

Does Kaizen Brain Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2225377) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaizen Brain Center was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.