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Foothills Neurological Medical Gp

Neurology with Special Qualifications in Child Neurology Physician in San Dimas, CA · enumerated 2005 · authorized official Gail Young, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154317584

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Registry record

Entity type Organization (Type 2)
Legal business name Foothills Neurological Medical Gp
Practice address 1330 W Covina Blvd, #103, San Dimas, CA, 91773
Fax (909) 599-6217
Enumeration date Sep 21, 2005
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License A33406 (CA) Secondary
2084N0402X Neurology with Special Qualifications in Child Neurology Physician Allopathic & Osteopathic Physicians · License A43523 (CA) Primary

Authorized official

Name Gail Young
Title Administrator

Other identifiers

Identifier Type State Issuer
00A334060 Medicaid CA -
00A435230 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Foothills Neurological Medical Gp located?
The practice location on file with NPPES is in San Dimas, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.