CMS-1500 Box 24J / 33a • NPI
1073994737
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2084A0401X (CMS 79)
Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)
Box 32 Service Location & ZIP+4
23823 MALIBU RD # 50-386, MALIBU, CA, 90265-4628
✓ 9-Digit EDI 837 ZIP+4 (90265-4628)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1073994737 (CA RMH PHYSICIAN SERVICES, PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1073994737 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CA RMH PHYSICIAN SERVICES, PC |
| Plain-English Specialty | Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: 2084A0401X (Psychiatry & Neurology, Addiction Medicine) |
| Certifying / Licensing Body | American Board of Psychiatry and Neurology (ABPN) |
| Practice Location Address | 23823 MALIBU RD # 50-386, MALIBU, CA, 90265-4628 |
| Practice Telephone / Fax | Tel: (800) 366-8101 | Fax: (561) 697-4345 |
| Administrative Mailing Address | 2300 WINDY RIDGE PKWY SE STE 210, ATLANTA, GA, 30339-5665 |
| Enumeration & Last Sync | Enumerated: 2015-06-17 | CMS Record Updated: 2017-09-08 |
| Authorized Official | JEAN DOCKERY (Director of RCM) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (2084A0401X)
What Does Taxonomy Code 2084A0401X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084A0401X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CA RMH PHYSICIAN SERVICES, PC)
Typical CPT / Diagnostic Procedures:- Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
- Electromyography (EMG) & Nerve Conduction Studies (NCS)
- Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
- Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review
- CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
- Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
- Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
- Antiplatelet & Secondary Stroke Prevention Regimens
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: N/A | License: Verified | Primary: Secondary |
2084A0401X — Psychiatry & Neurology, Addiction MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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