Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theodore C Prentice, MD

Individual provider Neurology Physician · NPI 1194733436

Dr. Theodore C Prentice, MD is a Neurology in Downey, California. Graduated from State University of New York at Buffalo School of Medicine in 1977, 49 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
49
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11525 Brookshire Ave Ste 205
Downey, CA 90241-4982
Phone: (562) 861-1988
Fax: (562) 861-5835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence WG38015M (CA)

Record details

NPI number1194733436
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESApril 7, 2010
Mailing address11525 Brookshire Ave Ste 205, Downey, CA 90241-4982

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Also practisesNEUROPSYCHIATRY, PSYCHIATRY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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