Pavilion Neurology Medical Group Inc.
NPI 1972636009ActiveOrganization· Specialist· Orange, CA
Specialist in Orange, California, registered in NPPES in March 2007. The authorized official on file is Elsa Carmona, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972636009 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2007 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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