FOOTHILLS NEUROLOGICAL MEDICAL GP – NPI #1154317584
Psychiatry & Neurology

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

FOOTHILLS NEUROLOGICAL MEDICAL GP is a psychiatry & neurologist located in SAN DIMAS, CA. NPPES has assigned the NPI number 1154317584 to FOOTHILLS NEUROLOGICAL MEDICAL GP on September 21, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0402X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOOTHILLS NEUROLOGICAL MEDICAL GP below.

NPI Profile for
FOOTHILLS NEUROLOGICAL MEDICAL GP

NPI Number
1154317584
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOOTHILLS NEUROLOGICAL MEDICAL GP
Primary location
1330 W COVINA BLVD
#103
SAN DIMAS, CA 91773-3200
Phone: (909) 592-2145 Fax: (909) 599-6217
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GAIL YOUNG
ADMINISTRATOR
Phone: (909) 592-2145
Updated
Identifiers

Identifiers for FOOTHILLS NEUROLOGICAL MEDICAL GP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA00A435230
medicaidCA00A334060
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0402X
- Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology (Primary)		 CA A43523
2084N0400X
- Psychiatry & Neurology / Neurology		 CA A33406

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.