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CALIFORNIA SPINE AND NEUROSURGERY INSTITUTE NPI 1114330461


NPI Information

NPI: 1114330461
Provider Name: CALIFORNIA SPINE AND NEUROSURGERY INSTITUTE

Doing Business As: SAN JOSE NEUROSPINE

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
3425 S BASCOM AVE
SUITE I
SAN JOSE, CA
ZIP 95008
Phone: (408) 377-3331
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CALIFORNIA SPINE AND NEUROSURGERY INSTITUTE is a neurological surgery in San Jose, 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. CALIFORNIA SPINE AND NEUROSURGERY INSTITUTE NPI is 1114330461. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As San Jose Neurospine.

The provider's business location address is:

3425 S BASCOM AVE
SUITE I
SAN JOSE, CA
ZIP 95008-300
Phone: (408) 377-3331
Fax: (408) 377-3332

The provider's authorized official is Adebukola A. Onibokun .
The authorized official title is President and has the following contact phone number (408) 377-3331.

The enumeration date for this NPI number is 6/4/2014 and was last updated on 10/29/2015.


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 SurgeryA83263CALIFORNIAYes

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
1CA122400MEDICARE PIN

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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