SOUTHERN CALIFORNIA BRAIN & SPINE SURGERY NPI 1235517442

Neurological Surgery in Montebello, CA

NPI 1235517442 Organization Neurological Surgery

About SOUTHERN CALIFORNIA BRAIN & SPINE SURGERY

Southern California Brain & Spine Surgery is a provider established in Montebello, California specializing in neurological surgery. The NPI number of Southern California Brain & Spine Surgery is 1235517442 and was assigned on May 2015. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Southern California Brain & Spine Surgery operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Moksha Gandhari Ranasinghe M.d. (President)

NPI

1235517442

Provider NameSOUTHERN CALIFORNIA BRAIN & SPINE SURGERY
Provider Location Address101 E BEVERLY BLVD STE 404A MONTEBELLO, CA 90640
Provider Mailing Address101 E BEVERLY BLVD STE 404A MONTEBELLO, CA 90640
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-08-2015
Last Update Date05-20-2019


Primary Taxonomy

Taxonomy Code207T00000X
ClassificationNeurological Surgery
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA 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.

Business Address

SOUTHERN CALIFORNIA BRAIN & SPINE SURGERY
101 E BEVERLY BLVD STE 404A
MONTEBELLO, CA
ZIP 90640
Phone: (213) 369-4583
Fax: (866) 876-7956

Get Directions


Mailing Address

SOUTHERN CALIFORNIA BRAIN & SPINE SURGERY
101 E BEVERLY BLVD STE 404A
MONTEBELLO, CA
ZIP 90640
Phone: (213) 369-4583
Fax: (866) 876-7956



Secondary Locations

12291 Washington Blvd Ste 102
Whittier, CA 90606
(562) 698-0679
637 Lucas Ave Ste 101
Los Angeles, CA 90017
(213) 369-4583

Authorized Official

Authorized Official NameDR. MOKSHA GANDHARI RANASINGHE M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(213) 369-4583

Group Taxonomy


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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
CB235126OTHER (01)CA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003033374DR. MOKSHA RANASINGHE M.D.
Individual
Neurological Surgery101 E BEVERLY BLVD STE 404A
MONTEBELLO, CA 90640
(213) 369-4583

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.