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CHAPARRAL MEDICAL GROUP INC. NPI 1194993055


NPI Information

NPI: 1194993055
Provider Name: CHAPARRAL MEDICAL GROUP, INC.

Doing Business As: SOUTHERN CALIFORNIA CENTER FOR NEURO SCIENCE AND SPINE,INC.

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 05D2161402

Address:
401 E HIGHLAND AVE
SUITE 553
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 881-6713
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CHAPARRAL MEDICAL GROUP, INC. is a neurological surgery in San Bernardino, CA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. CHAPARRAL MEDICAL GROUP, INC. NPI is 1194993055. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern California Center For Neuro Science And Spine,inc..

The provider's business location address is:

401 E HIGHLAND AVE
SUITE 553
SAN BERNARDINO, CA
ZIP 92404-803
Phone: (909) 881-6713
Fax: (909) 883-7235

The provider's authorized official is Adrienne Walker .
The authorized official title is Contracts Manager and has the following contact phone number (909) 398-1550.

The CLIA number assigned to this NPI record is 05D2161402 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 2/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2208VP0000XPain MedicinePain MedicineNo
3207T00000XNeurological SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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