Organization Active NPI

Brain and Spine Surgeons of Orange County,a Medical Corporation

  • Neurological Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1114955036
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
BRAIN AND SPINE SURGEONS OF ORANGE COUNTY,A MEDICAL CORPORATION
Practice address
3900 West Coast Highway
Suite 300
Newport Beach, CA 92663-4093
Phone
(949) 642-6787
Fax
(949) 642-4833
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Christopher Duma, MDNPI 1306870845
Title
President
Phone
(949) 642-6787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

3900 West Coast Highway
Suite 300
Newport Beach, CA 92663-4093

Mailing address

3900 West Coast Highway
Suite 300
Newport Beach, CA 92663-4093
Phone (949) 642-6787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000336 CA Part B Supplier - Clinic/Group Practice 4082702345 Receives reassigned benefits from 4 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

3900 W Coast Hwy
Ste 300
Newport Beach, CA 92663
Phone (949) 383-4185

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1114955036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WEST COAST HIGHWAY",
            "address_2": "SUITE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634093",
            "telephone_number": "949-642-6787",
            "fax_number": "949-642-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WEST COAST HIGHWAY",
            "address_2": "SUITE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634093",
            "telephone_number": "949-642-6787",
            "fax_number": "949-642-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AND SPINE SURGEONS OF ORANGE COUNTY,A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "DUMA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-642-6787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.