Organization Active NPI

No Cal Neurosurgery Medical GRP Inc

  • Neurological Surgery Physician
  • Fremont, CA
National Provider Identifier
1104915362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G52334 Issued in CA
Legal business name
NO CAL NEUROSURGERY MEDICAL GRP INC
Practice address
2400 Country Drive
Suite 100
Fremont, CA 94536-5330
Phone
(510) 494-5700
Fax
(510) 494-5710
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lori C Laperle
Title
Office Manager
Phone
(510) 494-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X G52334 CA Primary

Addresses

Primary practice location

2400 Country Drive
Suite 100
Fremont, CA 94536-5330

Mailing address

2400 Country Drive
Suite 100
Fremont, CA 94536-5330
Phone (510) 494-5700

Other identifiers 1

IdentifierTypeStateIssuer
G52334OtherCACALIFORNIA

National Provider Directory

National Provider Directory

Locations

2400 Country Dr
Ste 100
Fremont, CA 94536
Phone (925) 862-9961

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104915362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 COUNTRY DRIVE",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365330",
            "telephone_number": "510-494-5700",
            "fax_number": "510-494-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COUNTRY DRIVE",
            "address_2": "SUITE 100",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365330",
            "telephone_number": "510-494-5700",
            "fax_number": "510-494-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NO CAL NEUROSURGERY MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAPERLE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-494-5700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G52334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA",
            "identifier": "G52334",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.