Organization Active NPI

Neurological Surgery of Santa

Doing business as Neurological Surgery of Santa Barbara

  • Neurological Surgery Physician
  • Santa Barbara, CA
National Provider Identifier
1235565565
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROLOGICAL SURGERY OF SANTA
Doing business as
Neurological Surgery of Santa Barbara
Practice address
2410 Fletcher Ave
3Rd Floor
Santa Barbara, CA 93105-4828
Phone
(805) 682-1912
Fax
(805) 682-1844
NPI assigned
Sep 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
John K Park, MD
Title
President
Phone
(805) 682-1912

Specialties & licenses 1

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

Addresses

Primary practice location

2410 Fletcher Ave
3Rd Floor
Santa Barbara, CA 93105-4828

Mailing address

2410 Fletcher Ave
3Rd Floor
Santa Barbara, CA 93105-4828
Phone (805) 682-1912

Other names 1

  • Neurological Surgery of Santa Barbara Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1235565565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 FLETCHER AVE",
            "address_2": "3RD FLOOR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054828",
            "telephone_number": "805-682-1912",
            "fax_number": "805-682-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 FLETCHER AVE",
            "address_2": "3RD FLOOR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054828",
            "telephone_number": "805-682-1912",
            "fax_number": "805-682-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SURGERY OF SANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-682-1912",
        "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": "Neurological Surgery of Santa Barbara",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.