Active NPI
Temecula Valley Spine & Neurosurgery
- Neurological Surgery Physician
- Temecula, CA
National Provider Identifier
1093094708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A71689
- Legal business name
- TEMECULA VALLEY SPINE & NEUROSURGERY
- Practice address
- 27720 Jefferson Ave
Suite 100B
Temecula, CA 92590-2610 - Phone
- (951) 587-3739
- Fax
- (951) 693-9731
- NPI assigned
- Aug 11, 2011
- Last updated
- Aug 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard Tambunan
- Title
- Manager
- Phone
- (951) 973-7294
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A71689 | CA | Primary |
Addresses
Primary practice location
27720 Jefferson Ave
Suite 100B
Temecula, CA 92590-2610
Mailing address
25470 Medical Center Dr
Suite 204
Murrieta, CA 92562-4900
Phone (951) 973-7294
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1093094708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25470 MEDICAL CENTER DR",
"address_2": "SUITE 204",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925624900",
"telephone_number": "951-973-7294",
"fax_number": "951-973-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27720 JEFFERSON AVE",
"address_2": "SUITE 100B",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902610",
"telephone_number": "951-587-3739",
"fax_number": "951-693-9731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMECULA VALLEY SPINE & NEUROSURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "TAMBUNAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "951-973-7294",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A71689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
- Temecula Valley Emergency Physicians, Inc (Temecula Valley Emergency Physicians)
- Temecula Valley Family Physicians Inc.
- Temecula Valley Hospital Inc (Temecula Valley Hospital)
- Temecula Valley Hospitalist Medical Group, Inc.
- Temecula Valley Internal Medicine Medical Corporation
- Temecula Valley Usd
- Temecula Wigs and More
- Temekus Hospitalist Group
- Halelujah Belachew Temesgen
- Teodora Healthcare, Inc. (BrightStar of Riverside)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.