Brainiac Medical Corporation
NPI 1699472183 · Psychiatry Physician · Colton, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1699472183
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Taqialdeen Zamil, Cfo(951) 382-6161
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1101 California Ave Ste 100-18Corona, CA 92881-6470Phone: (951) 382-6161Fax: (951) 666-3501
- 2230 W Chapman Ave Ste 210cOrange, CA 92868-2316Phone: (714) 333-0891Fax: (951) 666-3501
Registry dates
- Enumerated
- 2023-02-14
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.