Active NPI
No Cal Neurosurgery Medical GRP Inc
- Neurological Surgery Physician
- Fremont, CA
National Provider Identifier
1104915362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G52334
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G52334 | Other | CA | CALIFORNIA |
National Provider Directory
National Provider DirectoryLocations
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.