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CRYSTAL SPRINGS SURGICAL ASSOCIATES A MEDICAL GROUP INC. NPI 1376631762


NPI Information

NPI: 1376631762
Provider Name: CRYSTAL SPRINGS SURGICAL ASSOCIATES, A MEDICAL GROUP, INC.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
101 S SAN MATEO DR
SUITE 302
SAN MATEO, CA
ZIP 94401
Phone: (650) 685-2959
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CRYSTAL SPRINGS SURGICAL ASSOCIATES, A MEDICAL GROUP, INC. is a surgery in San Mateo, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CRYSTAL SPRINGS SURGICAL ASSOCIATES, A MEDICAL GROUP, INC. NPI is 1376631762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 S SAN MATEO DR
SUITE 302
SAN MATEO, CA
ZIP 94401-819
Phone: (650) 685-2959

The provider's authorized official is John J Feng .
The authorized official title is President/owner and has the following contact phone number (650) 685-2959.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 7/23/2007.


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
1208600000XSurgeryG079786CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G797860MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2G23531MEDICARE UPINCALIFORNIA

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: 4/28/2024

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