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EAST BAY NEUROSURGERY AND SPINE A MEDICAL CORPORATION NPI 1104895846


NPI Information

NPI: 1104895846
Provider Name: EAST BAY NEUROSURGERY AND SPINE, A MEDICAL CORPORATION
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
2999 REGENT ST
SUITE 715
BERKELEY, CA
ZIP 94705
Phone: (510) 841-8700
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EAST BAY NEUROSURGERY AND SPINE, A MEDICAL CORPORATION is a neurological surgery in Berkeley, 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. EAST BAY NEUROSURGERY AND SPINE, A MEDICAL CORPORATION NPI is 1104895846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2999 REGENT ST
SUITE 715
BERKELEY, CA
ZIP 94705-190
Phone: (510) 841-8700

The provider's authorized official is Gordon Tang .
The authorized official title is President and has the following contact phone number (510) 841-8700.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 10/5/2010.


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
1207T00000XNeurological SurgeryG83573CALIFORNIAYes

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
1ZZZ02183ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP PPIN

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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