Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Neal Nathan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639828270

Neal Nathan is a Neurology in LA Jolla, California. Qualified in 2022, 4 years ago. Works from 5 locations. Licensed in California and Massachusetts.

Years since qualifying
4
Licensed in
CA, MA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

9300 Campus Point Dr
LA Jolla, CA 92037-1300
Phone: (858) 657-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (858) 657-7000
  • 55 Fruit St, Boston, MA 02114-2696 — (617) 726-2000
  • 75 Francis St, Boston, MA 02115-6106 — (617) 732-5500
  • 60 Fenwood Rd, Boston, MA 02115-6128 — (617) 732-5500

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 188481 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Neurology Physician Taxonomy 2084N0400X · Licence 1026434 (MA)

Record details

NPI number1639828270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in LA Jolla