NEUROSURGICAL MEDICAL CLINIC, INC,


Address: 3750 Convoy St Ste 301, San Diego, CA 92111-3741
Phone: 6192974481

NEUROSURGICAL MEDICAL CLINIC, INC, (NPI# 1881709673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881709673
Entity Type Organization
Organization Name NEUROSURGICAL MEDICAL CLINIC, INC,
Practice Address 3750 Convoy St Ste 301
San Diego
CA 92111-3741
Practice Telephone 6192974481
Practice Fax Number 6192915536
Mailing Telephone 6192974481
Mailing Fax Number 6192915536
Enumeration Date 2006-08-20
Last Update Date 2020-11-05
Authorized Official Name DR. SOHAIB A. KURESHI (PRESIDENT)
Authorized Official Telephone 6192974481
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery ========= CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA ZZZ47852Z 05

Office Location

Street Address 3750 CONVOY ST STE 301
City SAN DIEGO
State CA
Zip Code 92111-3741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508124918 Vamsidhar Chavakula Neurological Surgery 3750 Convoy St Ste 301, San Diego, CA 92111-3741 2012-04-24
1245526607 Gunjan Goel Neurological Surgery 3750 Convoy St Ste 301, San Diego, CA 92111 2011-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982220653 Karen Elizabeth Mitchell Registered Nurse County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 2020-06-18
1912523804 Access Medical, Inc. Durable Medical Equipment & Medical Supplies 4150 Convoy Street, Suite A, San Diego, CA 92111 2020-06-17
1154944551 Mei Ling Milan Szeto Student in an Organized Health Care Education/Training Program 7917 Ostrow Street, Suite A, San Diego, CA 92111 2020-05-20
1346893831 Leticia Isabel Peralta Assistant Behavior Analyst 563 Balboa Avenue. Number 521, San Diego, CA 92111 2019-07-23
1295204394 Demetria Serfas Behavioral Analyst 563 Balboa Ave #521, San Diego, CA 92111 2018-11-19
1568981678 Ross Psychology Psychologist 4883 Ronson Court, Suite K, San Diego, CA 92111 2017-09-11
1225554587 Bianca Acosta Technician, Other 563 Balboa Ave. #521, San Diego, CA 92111 2017-08-18
1194240085 Kazuhiro Kato Dentist 3707 Convoy St., San Diego, CA 92111 2017-08-11
1073038527 Joanne Epps-yentz Licensed Vocational Nurse 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 2017-08-06
1184158446 Positive Behavior Supports Corp Community/Behavioral Health 563 Balboa Ave, 521, San Diego, CA 92111 2017-04-13
Find all providers in zip 92111

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093205312 Vikram Udani Md Inc Neurological Surgery 3590 Camino Del Rio N Ste 200, San Diego, CA 92108-1707 2018-05-11
1639428238 Victor Lo Neurological Surgery 5251 Viewridge Ct, San Diego, CA 92123 2012-08-29
1902176399 Robert Francis Andrews Neurological Surgery 2156 Guy St, San Diego, CA 92103-1537 2012-01-03
1336399567 Lance L. Altenau Neurological Surgery 3525 Del Mar Heights Rd # 355, San Diego, CA 92130-2122 2008-09-24
1316141898 Ganna L Breland Neurological Surgery 10350 Barnes Canyon Rd Ste 200, San Diego, CA 92121-2709 2007-06-11
1508912031 Jonathon Cooke Neurological Surgery 6540 Reflection Dr, San Diego, CA 92124-5119 2007-01-26
1396899837 San Diego Neurosurgery and Spine Institute Neurological Surgery 7930 Frost St Ste 304, San Diego, CA 92123-2740 2007-01-22
1083792220 Rex L Rhoten Neurological Surgery 4510 Executive Dr Ste 125, San Diego, CA 92121-3054 2006-11-02
1144333436 Lance L Altenau Neurological Surgery 2100 5th Ave, Ste 200, San Diego, CA 92101-2102 2006-08-17
1750306171 Lawrence F Marshall Neurological Surgery 200 West Arbor Dr - Mc 8893, Ucsd Medical Center, San Diego, CA 92103-8893 2006-07-13
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92111

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Dataset Information

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.

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