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TRI VALLEY NEUROSURGICAL MEDICAL GROUP NPI 1720205362


NPI Information

NPI: 1720205362
Provider Name: TRI VALLEY NEUROSURGICAL MEDICAL GROUP

Doing Business As: DESMON ERASMUS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
39039 PASEO PADRE PKWY
SUITE # 207
FREMONT, CA
ZIP 94538
Phone: (510) 790-6317
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TRI VALLEY NEUROSURGICAL MEDICAL GROUP is a specialist in Fremont, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TRI VALLEY NEUROSURGICAL MEDICAL GROUP NPI is 1720205362. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Desmon Erasmus.

The provider's business location address is:

39039 PASEO PADRE PKWY
SUITE # 207
FREMONT, CA
ZIP 94538-620
Phone: (510) 790-6317
Fax: (510) 790-6383

The provider's authorized official is Desmond Erasmus .
The authorized official title is Sole Proprietor and has the following contact phone number (510) 790-6317.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/5/2008.


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
1174400000XSpecialistYes

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
1ZZZ27459ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIADESMOND ERASMUS,MD

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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