NEUROSURGICAL TRAUMA SERVICES
NPI 1104963834
Specialist in Roseville, CA

Active since January 31, 2007
1301 SECRET RAVINE PKWY, STE 200, ROSEVILLE, CA 95661(916) 771-3393 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neurosurgical Trauma Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEUROSURGICAL TRAUMA SERVICES (NPI 1104963834) is a healthcare organization registered as a specialist in Roseville, California and active in the NPI registry since January 2007. The organization lists Bahram Chehrazi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104963834
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNEUROSURGICAL TRAUMA SERVICES
Location Address1301 SECRET RAVINE PKWY, STE 200Roseville, CA 95661-3096
Mailing AddressPo Box 2600Granite Bay, CA 95746-2600 · (916) 771-3393
Organization SubpartNo
Authorized OfficialBahram ChehraziMedical Director · (916) 771-3393
Enumeration DateJanuary 31, 2007
Last NPPES UpdateDecember 31, 2009
NPI 1104963834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1301 SECRET RAVINE PKWY, Roseville, CA 95661

Other Identifiers 3

OtherZZZ49984ZCA · Blue Shield Group Id
MedicaidGR0070590CA
Medicare ID-Type UnspecifiedZZZ00973ZCA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1301 SECRET RAVINE PKWY, SUITE 240
ROSEVILLE, CA 95661
Neurological Surgery
1301 SECRET RAVINE PKWY, SUITE 200
ROSEVILLE, CA 95661
Prosthetic/Orthotic Supplier
1301 SECRET RAVINE PKWY, SUITE 100
ROSEVILLE, CA 95661
Neurological Surgery
1301 SECRET RAVINE PKWY, SUITE 200
ROSEVILLE, CA 95661
Clinic/Center (Health Service)
1301 SECRET RAVINE PKWY, SUITE 140
ROSEVILLE, CA 95661
Emergency Medicine (Emergency Medical Services)
1301 SECRET RAVINE PKWY, STE 200
ROSEVILLE, CA 95661
Internal Medicine
1301 SECRET RAVINE PKWY, SUITE 240
ROSEVILLE, CA 95661
Neurological Surgery
1301 SECRET RAVINE PKWY, STE 200
ROSEVILLE, CA 95661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neurosurgical Trauma Services's NPI number?

The NPI number for Neurosurgical Trauma Services is 1104963834. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Neurosurgical Trauma Services located?

Neurosurgical Trauma Services is located at 1301 Secret Ravine Pkwy Ste 200, Roseville, CA 95661. The listed phone number is (916) 771-3393.

What is Neurosurgical Trauma Services's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Neurosurgical Trauma Services was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.