Southern California Brain & Spine Surgery

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SOUTHERN CALIFORNIA BRAIN & SPINE SURGERY

Practice address

101 E Beverly Blvd Ste 404a
Montebello, CA 90640

Phone

(213) 369-4583

Fax

(866) 876-7956

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Moksha Gandhari Ranasinghe, M.D.NPI 1003033374

Title

President

Phone

(213) 369-4583

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Moksha Ranasinghe, M.D.

  • Neurological Surgery Physician
  • Montebello, CA
  • NPI 1003033374
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1235517442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 404A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404317",
            "telephone_number": "213-369-4583",
            "fax_number": "866-876-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 404A",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "90640",
            "telephone_number": "213-369-4583",
            "fax_number": "866-876-7956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12291 Washington Blvd",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906062500",
            "country_code": "US",
            "telephone_number": "562-698-0679",
            "fax_number": "562-945-5801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "637 Lucas Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171997",
            "country_code": "US",
            "telephone_number": "213-369-4583",
            "fax_number": "866-876-7956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA BRAIN & SPINE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "RANASINGHE",
        "authorized_official_first_name": "MOKSHA",
        "authorized_official_middle_name": "GANDHARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-369-4583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB235126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• South Central Family Health Center
• Spartak Delakyan D.D.S., Inc.
• St. Francis Medical Center
• Janet Ruth Staples Edwards, MD
• David John Stefanik, OTR/L
• Arthur Stepanyan

• Neurological Surgery Physician in Montebello, CA
• Providers in Montebello, 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 May 20, 2019; 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.