CHILDREN'S NEUROSURGICAL ASSOCIATES, INC. (NPI# 1609979962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609979962 |
Entity Type | Organization |
Organization Name | CHILDREN'S NEUROSURGICAL ASSOCIATES, INC. |
Practice Address |
747 52nd Street Suite 5203 Oakland CA 94609 |
Practice Telephone | 5104283319 |
Mailing Telephone | 5104283319 |
Enumeration Date | 2006-09-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. PETER P. SUN (PRESIDENT) |
Authorized Official Telephone | 5104283319 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | G76016 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CA MEDICAL LICENSE | G76016 | 01 |
Street Address |
747 52ND STREET SUITE 5203 |
City | OAKLAND |
State | CA |
Zip Code | 94609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164412433 | Thomas Durand Reed | Pediatrics | 747 52nd Street, Children's Hospital - Oakland, Oakland, CA 94609-0000 | 2005-10-26 |
1013546472 | Sarah Durney | Student in an Organized Health Care Education/Training Program | 747 52nd Street, Suite 245, Oakland, CA 94609-1809 | 2020-04-06 |
1649731894 | Shella Kirin Raja | Student in an Organized Health Care Education/Training Program | 747 52nd Street, C/o Graduate Medical Education, Oakland, CA 94609 | 2019-03-29 |
1750736435 | Faye Korich | Student in an Organized Health Care Education/Training Program | 747 52nd Street, Ucsf Benioff Children's Hospital Oakland, Oakland, CA 94609-7099 | 2016-04-29 |
1114266475 | Britta Christine Salvetti | Pediatrics | 747 52nd Street, Medical Education, Oakland, CA 94609 | 2013-02-06 |
1649523267 | Argavan Nilforoush | Dietitian, Registered | 747 52nd Street, Oakland, CA 94609-1809 | 2012-10-19 |
1326327297 | Allison Latray | Dietitian, Registered | 747 52nd Street, Oakland, CA 94609-1809 | 2011-08-10 |
1275824070 | Sharon Marie Leno | Social Worker | 747 52nd Street, Social Services Department Children's Hospital Oakland, Oakland, CA 94609-1809 | 2011-04-27 |
1255621389 | Children's Hospital & Reasearch Center Oakland | General Acute Care Hospital | 747 52nd Street, Oakland, CA 94609-1809 | 2011-04-11 |
1073824652 | Carol Ko-han Lin | Student in an Organized Health Care Education/Training Program | 747 52nd Street, Children's Hospital Research Center Oakland, Oakland, CA 94609 | 2010-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942463682 | Kurtis Ian Auguste | Neurological Surgery | 744 52nd Street, Suite 5203, Oakland, CA 94609 | 2008-07-02 |
1003951880 | Buenor D. Puplampu | Neurological Surgery | 180 Grand Ave Ste 100, Oakland, CA 94612-3766 | 2007-02-20 |
1740321884 | Atul K Patel | Neurological Surgery | 1411 E 31st St, Oakland, CA 94602-1018 | 2007-02-10 |
1174675532 | Michael Alan Sheinberg | Neurological Surgery | 747 52nd St, Oakland, CA 94609 | 2007-01-17 |
1487706669 | Alameda Health System | Neurological Surgery | 1411 E 31st St, Oakland, CA 94602-1018 | 2007-01-17 |
1699853499 | Dachling Pang | Neurological Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
1336227115 | John G. Zovickian | Neurological Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
1972590354 | Peter P. Sun | Neurological Surgery | 744 52nd St, 5th Floor, Oakland, CA 94609-1810 | 2005-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144477 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 | 2020-11-04 |
1013524123 | Hubert Tsun-yin Lee | Neurological Surgery | 1201 Welch Road, Stanford, CA 94305-5327 | 2020-09-24 |
1811500267 | Chaparral Medical Group, Inc. | Neurological Surgery | 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 | 2020-08-26 |
1982259461 | Mauricio Mandel Brigido | Neurological Surgery | 300 Pasteur Dr # R281, Stanford, CA 94305-2200 | 2019-08-01 |
1538713227 | Sylvain Palmer Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 | 2019-07-31 |
1851945877 | X.sean Xin, Do Inc. | Neurological Surgery | 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 | 2019-07-29 |
1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
1598317711 | Newport Beach Neurosurgical Institute | Neurological Surgery | 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 | 2019-07-09 |
1609438761 | Py26 Neurosurgery, PC | Neurological Surgery | 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 | 2019-06-28 |
1679133664 | Sequoia Neurosurgery, Inc. | Neurological Surgery | 306 N Conyer St Ste A, Visalia, CA 93291-4704 | 2019-06-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.