| Kaizen Brain Center | |
|
4180 La Jolla Village Dr Ste 240 La Jolla CA 92037 | |
| (866) 277-2659 | |
| (858) 779-2511 |
| Full Name | Kaizen Brain Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4180 La Jolla Village Dr Ste 240, La Jolla, California |
| Authorized Official Name and Position | Alexandra Orliac (GENERAL COUNSEL) |
| Authorized Official Contact | 4152388593 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaizen Brain Center 4180 La Jolla Village Dr Ste 240 La Jolla CA 92037-1471 Ph: (866) 277-2659 | Kaizen Brain Center 4180 La Jolla Village Dr Ste 240 La Jolla CA 92037 Ph: (866) 277-2659 |
| NPI Number | 1154864874 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 09/23/2026 |
| Certification Date | 09/23/2026 |
| Medicare PECOS PAC ID | 6103109327 |
|---|---|
| Medicare Enrollment ID | O20170214002554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154864874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | A124696 (California) | Primary |
| Provider Name | Andrew D Penn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861564312 PECOS PAC ID: 8022026657 Enrollment ID: I20060323000493 |
| Provider Name | Mohammed M Ahmed |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1184856916 PECOS PAC ID: 0446488217 Enrollment ID: I20140124001688 |
| Provider Name | Hossein Ansari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578774949 PECOS PAC ID: 6901076108 Enrollment ID: I20150529002442 |
| Provider Name | Janne Kristoffer Nissinen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710278569 PECOS PAC ID: 6800192394 Enrollment ID: I20170724003070 |
| Provider Name | Nathan U Chow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134564206 PECOS PAC ID: 9830453810 Enrollment ID: I20180426002585 |
| Provider Name | Flint Martin Espil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235308883 PECOS PAC ID: 8123366333 Enrollment ID: I20190213003264 |
| Provider Name | Ian Harris Kratter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932595493 PECOS PAC ID: 6204257900 Enrollment ID: I20200604002967 |
| Provider Name | Brandon Stephen Bentzley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295197937 PECOS PAC ID: 3971924697 Enrollment ID: I20200605000438 |
| Provider Name | Noorsaba Bahramzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270698 PECOS PAC ID: 5092102426 Enrollment ID: I20220503001420 |
| Provider Name | Kristoffer Allan Ancho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700199205 PECOS PAC ID: 7416337159 Enrollment ID: I20220712001095 |
| Provider Name | Massooda Paband |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417619818 PECOS PAC ID: 9133596950 Enrollment ID: I20221108003115 |
| Provider Name | Joseph Viet Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700529484 PECOS PAC ID: 9739627456 Enrollment ID: I20240813002468 |
| Provider Name | Jill Fleming |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1821154030 PECOS PAC ID: 5294227518 Enrollment ID: I20251124004522 |
| Provider Name | Sara Sanobari |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932601200 PECOS PAC ID: 5890280754 Enrollment ID: I20251218002739 |
| Provider Name | Bonnie L Monfils |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992109219 PECOS PAC ID: 0345735874 Enrollment ID: I20251222001114 |
| Provider Name | Mikaela Marie Weidman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578242962 PECOS PAC ID: 3072085984 Enrollment ID: I20260611002338 |
Bales Psychology Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3252 Holiday Ct Ste 114, La Jolla, CA 92037 Phone: 619-380-0508 |
Arash Khatami MD Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8950 Villa La Jolla Dr Ste A215, La Jolla, CA 92037 Phone: 858-367-3020 |
Sean Ryan, M.D., a Professional Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9404 Genesee Ave Ste 335, La Jolla, CA 92037 Phone: 858-622-0622 Fax: 949-587-1142 |
International Center for Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3252 Holiday Ct, Ste 108, La Jolla, CA 92037 Phone: 858-729-4668 |
Aegis Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Executive Sq Ste 600, La Jolla, CA 92037 Phone: 858-866-8444 |
Melvin L. Selzer, MD, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6967 Paseo Laredo, La Jolla, CA 92037 Phone: 858-459-1035 Fax: 858-459-1021 |