NORCAL NEUROSURGERY GROUP
NPI 1174925697
Neurological Surgery in Santa Rosa, CA

Active since September 17, 2014
4690 HOEN AVE, SANTA ROSA, CA 95405(707) 799-5911 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Norcal Neurosurgery Group NPPES

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

NORCAL NEUROSURGERY GROUP (NPI 1174925697) is a healthcare organization registered as a neurological surgery in Santa Rosa, California and active in the NPI registry since September 2014. The organization lists Scott Glickman, President, as its authorized official.

NPPES Registry Identity

NPI1174925697
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameSPINE AND NEUROSURGICAL TRAUMA ASSOCIATES OF NORTHERN CALIFORNIA
Location Address4690 HOEN AVESanta Rosa, CA 95405-7823
Mailing Address1275 4th St, Pmb 646Santa Rosa, CA 95404-4057 · (707) 799-5911
Organization SubpartNo
Authorized OfficialScott GlickmanPresident · (707) 799-5911
Enumeration DateSeptember 17, 2014
NPI 1174925697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in CA · 13305
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.
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 13305 (CA)
4690 HOEN AVE, Santa Rosa, CA 95405

Other Names 1

Doing Business AsNorcal Neurosurgery Group

Other Identifiers 1

Medicaid3102403OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology (Reproductive Endocrinology)
4690 HOEN AVE
SANTA ROSA, CA 95405
Nurse Practitioner
4690 HOEN AVE
SANTA ROSA, CA 95405
Internal Medicine (Rheumatology)
4690 HOEN AVE
SANTA ROSA, CA 95405

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 Spine And Neurosurgical Trauma Associates Of Northern California's NPI number?

The NPI number for Spine And Neurosurgical Trauma Associates Of Northern California is 1174925697. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Norcal Neurosurgery Group.

Where is Spine And Neurosurgical Trauma Associates Of Northern California located?

Spine And Neurosurgical Trauma Associates Of Northern California is located at 4690 Hoen Ave, Santa Rosa, CA 95405. The listed phone number is (707) 799-5911.

What is Spine And Neurosurgical Trauma Associates Of Northern California's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Spine And Neurosurgical Trauma Associates Of Northern California was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.