East Bay Neurosurgery and Spine, a Medical Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G83573 Issued in CA

Legal business name

EAST BAY NEUROSURGERY AND SPINE, A MEDICAL CORPORATION

Practice address

2999 Regent St
Suite 715
Berkeley, CA 94705-2190

Phone

(510) 841-8700

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gordon Tang, M.D.

Title

President

Phone

(510) 841-8700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1104895846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 715",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-841-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 715",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-841-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY NEUROSURGERY AND SPINE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-841-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G83573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Ealum
• Aryn L Earnhardt, FNP
• East Bay Acupuncture & Natural Medicine
• East Bay Head & Neck Surgery Medical Group, Inc.
• East Bay Nephrology Medical Group, Inc.
• East Bay Primary and Preventive Care Medical Corp
• Ann K. Eastman, MD
• Jazelle Unique Eastman
• Noah Eastman
• Nancy E. Ebbert, M.D.

• Neurological Surgery Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.