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EAST BAY SPINE SPECIALISTS INC A MEDICAL CORPORATION NPI 1770589418


NPI Information

NPI: 1770589418
Provider Name: EAST BAY SPINE SPECIALISTS INC A MEDICAL CORPORATION

Doing Business As: NORTHERN CALIFORNIA SPINE INSTITUTE

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
5725 W LAS POSITAS BLVD
STE 200
PLEASANTON, CA
ZIP 94588
Phone: (925) 469-3120
Get Directions

EAST BAY SPINE SPECIALISTS INC A MEDICAL CORPORATION is an orthopaedic surgery of the spine orthopaedic surgery in Pleasanton, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. EAST BAY SPINE SPECIALISTS INC A MEDICAL CORPORATION NPI is 1770589418. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northern California Spine Institute.

The provider's business location address is:

5725 W LAS POSITAS BLVD
STE 200
PLEASANTON, CA
ZIP 94588-007
Phone: (925) 469-3120
Fax: (925) 924-1769

The provider's authorized official is Chip Krull .
The authorized official title is Coo and has the following contact phone number (925) 469-3120.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 1/14/2019.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineGROUPCALIFORNIAYes
2208100000XPhysical Medicine & RehabilitationGROUPCALIFORNIANo

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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