NEUROLOGICINC (NPI# 1023564481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023564481 |
| Entity Type | Organization |
| Organization Name | NEUROLOGICINC |
| Other Organization Name | CONCUSSIONSRUS |
| Practice Address |
630 S Raymond Ave Pasadena CA 91105-3278 |
| Mailing Address |
15021 Ventura Blvd #393 Sherman Oaks CA 91403-2442 |
| Practice Telephone | 8184428350 |
| Mailing Telephone | 8184428350 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2017-08-25 |
| Authorized Official Name | ASA MARIA ALBECZ (CEO) |
| Authorized Official Telephone | 8184428350 |
| Authorized Official Credential | REEGT RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
4713 | CA | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Concussionsrus | Doing Business As Name - Organization |
| Street Address |
630 S RAYMOND AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014750 | Mary A Mioux Berry | Physical Medicine & Rehabilitation | 630 S Raymond Ave, Suite #120, Pasadena, CA 91105-3278 | 2005-06-27 |
| 1295249225 | Tracy Le Henry | Nurse Practitioner | 630 S Raymond Ave, Pasadena, CA 91105-3278 | 2017-11-29 |
| 1316493737 | Asa Maria Albecz | Technician, Other | 630 S Raymond Ave, #310, Pasadena, CA 91105-3278 | 2016-08-26 |
| 1720475825 | Neuro-rehab Consultation & Treatment Services | Psychologist | 630 S Raymond Ave, #340, Pasadena, CA 91105-3278 | 2015-04-16 |
| 1215365747 | Roxanne Prilutsky, Ph.d., A Psychology Corporation | Psychologist | 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 | 2013-10-18 |
| 1467897322 | West Coast Neurology | Psychiatry & Neurology | 630 S Raymond Ave, Suite 310, Pasadena, CA 91105-3278 | 2013-05-06 |
| 1588943682 | Southern California Glaucoma Consultants Medical Group | Ophthalmology | 630 S Raymond Ave, 230, Pasadena, CA 91105-3278 | 2011-08-08 |
| 1376867309 | Valley Diagnostic Imaging Medical Group Inc | Specialist | 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 | 2010-03-19 |
| 1033431127 | Imaging Specialist of Pasadena LLC | Specialist | 630 S Raymond Ave, Unit 210, Pasadena, CA 91105-3278 | 2010-02-17 |
| 1245561752 | Elisa C Alvarado Md Inc | Internal Medicine | 630 S Raymond Ave, Suite 340, Pasadena, CA 91105-3278 | 2010-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457453516 | Khashayar Pourmand | Specialist/Technologist, Other | 833 S Los Robles Ave, Pasadena, CA 91106-3716 | 2006-09-01 |
| 1669831459 | Institute of Diagnositc Medicine & Research Inc | Specialist/Technologist, Other | 833 S Los Robles Ave, Pasadena, CA 91106-3716 | 2016-02-22 |
| 1679827844 | Forrest Craig Schweitzer | Specialist/Technologist, Other | 4808 Fairmont Pkwy # 404, Pasadena, TX 77505-3722 | 2012-11-09 |
| 1871796888 | Pioneer Medical Diagnostics Corporation | Specialist/Technologist, Other | 833 S Los Robles Ave, Pasadena, CA 91106-3716 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996296 | Kelly Olivia Brand | Specialist/Technologist, Other | 11044 Tennessee Ave, Los Angeles, CA 90064-1966 | 2020-06-09 |
| 1417576901 | Alpha Neuro-monitoring, LLC | Specialist/Technologist, Other | 751 E Blithedale Ave # 369, Mill Valley, CA 94941-1515 | 2020-04-14 |
| 1386276624 | Pinpoint Monitoring LLC | Specialist/Technologist, Other | 73521 Jameson Rd, Palm Desert, CA 92211-2031 | 2020-02-05 |
| 1255986329 | Hope Diagnostics Inc | Specialist/Technologist, Other | 10999 Riverside Dr 204, North Hollywood, CA 91602-2239 | 2019-08-06 |
| 1982267001 | California Diagnostic Specialists, Inc. | Specialist/Technologist, Other | 9191 Westminster Ave # 209, Garden Grove, CA 92844-2751 | 2019-04-15 |
| 1083174213 | Svetlana Almeida | Specialist/Technologist, Other | 28201 La Plumosa, Laguna Niguel, CA 92677-7049 | 2019-03-22 |
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1184191256 | Satellite Medical LLC | Specialist/Technologist, Other | 3478 Buskirk Ave Ste 140, Pleasant Hill, CA 94523-4383 | 2018-10-26 |
| 1063994879 | Martin Phan | Specialist/Technologist, Other | 2995 Edison Dr, San Jose, CA 95133-2412 | 2018-08-29 |
| 1285123588 | Vincent Mattiello | Specialist/Technologist, Other | 13924 Marquesas Way Apt 2302, Marina Del Rey, CA 90292-6020 | 2018-05-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.