INNOVATIVE NEUROLOGY, INC. (NPI# 1104434075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104434075 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE NEUROLOGY, INC. |
| Practice Address |
38860 Sky Canyon Dr Bldg A Murrieta CA 92563-2518 |
| Mailing Address |
31805 Temecula Pkwy # D7-392 Temecula CA 92592-8203 |
| Practice Telephone | 4427775920 |
| Practice Fax Number | 9514662744 |
| Mailing Telephone | 4427775920 |
| Mailing Fax Number | 9514662744 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | JANICE RAQUEL FUENTES (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6193061127 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Innovative Neurology | Other Name - Individual/Organization |
| Street Address |
38860 SKY CANYON DR BLDG A |
| City | MURRIETA |
| State | CA |
| Zip Code | 92563-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649483884 | Jonathan Geoffrey Kelling | Anesthesiology | 38860 Sky Canyon Dr Bldg A, Murrieta, CA 92563-2540 | 2007-05-07 |
| 1720485477 | Raechel Mora | Physician Assistant | 38860 Sky Canyon Dr Bldg A, Murrieta, CA 92563-2518 | 2014-11-24 |
| 1497044465 | Karmin P Nissan | Anesthesiology | 38860 Sky Canyon Dr Bldg A, Murrieta, CA 92563-2518 | 2011-03-30 |
| 1053637918 | Janice Raquel Fuentes | Psychiatry & Neurology | 38860 Sky Canyon Dr Bldg A, Murrieta, CA 92563-2518 | 2010-04-15 |
| 1912194804 | James John Sotis | Family Medicine | 38860 Sky Canyon Dr Bldg A, Murrieta, CA 92563-2518 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137073 | Catherine Sanders | Physical Therapist | 39815 Alta Murrieta Drive, Suite C-1, Murrieta, CA 92563 | 2020-02-27 |
| 1588201990 | Joanna Chante Rios Montoya | Case Manager/Care Coordinator | 30755 Auld Rd B, Murrieta, CA 92563 | 2019-12-04 |
| 1881154896 | Just for You Home Care Inc. | In Home Supportive Care | 30535 Marlow Ct., Murrieta, CA 92563 | 2019-03-25 |
| 1548751985 | Day By Day Treatment, Inc. | Clinic/Center | 40119 Murrieta Hot Springs Rd Ste B104, Murrieta, CA 92563 | 2018-05-22 |
| 1952802225 | Temecula Valley Skilled Nursing and Rehabilitation Center, Lp | Skilled Nursing Facility | 25924 Jackson Ave, Murrieta, CA 92563 | 2018-02-22 |
| 1114432721 | May Farrah Blanco Yoshisaki | Nurse Practitioner | 39525 Los Alamos Road, Ste E, Murrieta, CA 92563 | 2017-12-05 |
| 1942721899 | Cecilia Cristina Flores-castillo | Interpreter | 29910 Murrieta Hot Sprngs Rd., Ste. G-235, Murrieta, CA 92563 | 2017-06-30 |
| 1144756354 | Anh-thu Kent | Pharmacist | 40234 Miklich Dr, Murrieta, CA 92563 | 2017-05-08 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1588196612 | Galena Dapra | Nurse Practitioner | 27808 Baxter Rd. Suite 320, Murrieta, CA 92563 | 2017-03-29 |
| Find all providers in zip 92563 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779521 | Cep America - Neurology PC | Psychiatry & Neurology | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-01-14 |
| 1053637918 | Janice Raquel Fuentes | Psychiatry & Neurology | 38860 Sky Canyon Dr Bldg A, Murrieta, CA 92563-2518 | 2010-04-15 |
| 1427237221 | Pamela L. Alvarez, Md Inc. | Psychiatry & Neurology | 24910 Las Brisas Rd, Suite 115, Murrieta, CA 92562-4010 | 2007-10-29 |
| 1265535199 | Raja B Boutros | Psychiatry & Neurology | 25485 Medical Center Dr, #208, Murrieta, CA 92562 | 2006-09-06 |
| 1275635492 | Lama Al-khoury | Psychiatry & Neurology | 25485 Medical Center Dr, #208, Murrieta, CA 92562 | 2006-09-01 |
| 1770685968 | Neurocenter Medical Clinic Inc | Psychiatry & Neurology | 25485 Medical Center Dr, #108, Murrieta, CA 92562-6900 | 2006-09-01 |
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|---|---|---|---|---|
| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
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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.