Central Coast Brain and Spine Associates a Medical Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

CENTRAL COAST BRAIN AND SPINE ASSOCIATES A MEDICAL CORPORATION

Practice address

220 San Jose St
Salinas, CA 93901

Phone

(831) 424-0807

Fax

(831) 424-3408

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Theodore Kaczmar Jr., MDNPI 1265449136

Title

President

Phone

(831) 424-0807

Specialties & licenses 1

Addresses

Other names 1

• Salinas Valley Neurological Assoc Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Kaczmar Jr., MD

  • Neurological Surgery Physician
  • Salinas, CA
  • NPI 1265449136
  NPD (past) Authorized official
• Gerald Francis Wahl, MD

  • Neurology Physician
  • Salinas, CA
  • NPI 1174530042
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1124116439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-424-0807",
            "fax_number": "831-424-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SAN JOSE ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-424-0807",
            "fax_number": "831-424-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST BRAIN AND SPINE ASSOCIATES A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "KACZMAR",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-424-0807",
        "authorized_official_name_suffix": "Jr.",
        "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": [
        {
            "organization_name": "Salinas Valley Neurological Assoc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elizabeth Centeno
• Center for Reproductive Medicine
• Central California Neurology Medical Corporation
• Central Coast ABA LLC
• Central Coast Allergy and Asthma
• Central Coast Cardiology a Medical Corporation
• Central Coast Center for Independent Living (Cccil)
• Central Coast Counseling
• Central Coast Hand Therapy
• Central Coast Head & Neck Surgeons a M C Inc

• Neurological Surgery Physician in Salinas, CA
• Providers in Salinas, 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 Feb 18, 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.