La Jolla Neurosurgical Associates a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A50766 Issued in CA

Legal business name

LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION

Practice address

9834 Genesee Ave
Suite #411
La Jolla, CA 92037-1223

Phone

(858) 677-1755

Fax

(858) 677-1771

NPI assigned

Feb 8, 2007

Last updated

Jul 29, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frank Jeffrey Coufal, M.D., FACSNPI 1760495303

Title

Neurosurgeon

Phone

(858) 677-1755

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank Jeffrey Coufal, M.D.

  • Neurological Surgery Physician
  • La Jolla, CA
  • NPI 1760495303
  Medicare reassignment NPD Authorized official
• Kaye Lim Elamparo, NP

  • Nurse Practitioner
  • La Jolla, CA
  • NPI 1851673610
  Medicare reassignment NPD
• Corinne Elizabeth Wertz, N.P.

  • Nurse Practitioner
  • Stanford, CA
  • NPI 1417327297
  Medicare reassignment NPD
• Amanda Williams Gumbert, P.A.

  • Surgical Physician Assistant
  • San Diego, CA
  • NPI 1891723870
  Medicare reassignment
• Felix Matthew Regala, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1427360973
  Medicare reassignment
• Ashley Nicole Ryan, PA-C

  • Physician Assistant
  • National City, CA
  • NPI 1689003956
  Medicare reassignment
• Kellie Michelle Zumot, PA-C

  • Physician Assistant
  • Sacramento, CA
  • NPI 1114241072
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1073654604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE #411",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-677-1755",
            "fax_number": "858-677-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE #411",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-677-1755",
            "fax_number": "858-677-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "COUFAL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "858-677-1755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5918840001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Jolla Endoscopy Center LP (La Jolla Endoscopy Center)
• La Jolla Gastroenterology Medical Group, Inc
• La Jolla Gi Hospitalists, Inc.
• La Jolla Healhcare Group, Inc. (La Jolla Nurses Homecare)
• La Jolla Ivf,Inc
• La Jolla Observation Medicine
• La Jolla Oncology Acupuncture & Massage
• La Jolla Ophthalmology
• La Jolla Optique
• La Jolla Orthopaedic Surgery Center LP (Orthopaedic Surgery Center of La Jolla)

• Specialist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.