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SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF NEUROSURGERY NPI 1508047986


NPI Information

NPI: 1508047986
Provider Name: SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF NEUROSURGERY
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
9300 VALLEY CHILDRENS PL
GE07
MADERA, CA
ZIP 93636
Phone: (559) 353-6277
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SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF NEUROSURGERY is a neurological surgery in Madera, 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. SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF NEUROSURGERY NPI is 1508047986. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9300 VALLEY CHILDRENS PL
GE07
MADERA, CA
ZIP 93636-761
Phone: (559) 353-6277
Fax: (559) 353-5424

The provider's authorized official is Devonna M. Kaji .
The authorized official title is President / Medical Director and has the following contact phone number (559) 353-5700.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 6/28/2013.


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
1208000000XPediatricsCALIFORNIANo
2207T00000XNeurological SurgeryCALIFORNIAYes

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
11013968296OTHERCALIFORNIASMG GENERAL GRP NPI NUMBER
2ZZZ13884ZMEDICARE PINCALIFORNIA
3GR007868FMEDICAIDCALIFORNIA

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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