Organization Active NPI

B Barry Chehrazi MD Inc

  • Neurological Surgery Physician
  • Roseville, CA
National Provider Identifier
1366595464
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
B BARRY CHEHRAZI MD INC
Doing business as
Spine & Neurosurgery Associates
Practice address
1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3043
Phone
(916) 771-3300
Fax
(916) 771-3443
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Ms. Laura Platt
Title
Office Manager
Phone
(916) 771-3300

Specialties & licenses 1

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

Addresses

Primary practice location

1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3043

Mailing address

1301 Secret Ravine Pkwy
Suite 200
Roseville, CA 95661-3043
Phone (916) 771-3300

Other names 1

  • Spine & Neurosurgery Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041005000723 CA Part B Supplier - Clinic/Group Practice 9032178124 Receives reassigned benefits from 3 practitioners
Practice locations: Roseville, CA
O20240325000465 CA DME Supplier - Physician - Neurosurgery 9032178124 Practice locations: Roseville, CA

National Provider Directory

National Provider Directory

Locations

2 Medical Plaza Dr
Ste 255
Roseville, CA 95661
Phone (916) 773-8700

1301 Secret Ravine Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-3300

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1366595464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SECRET RAVINE PKWY",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613043",
            "telephone_number": "916-771-3300",
            "fax_number": "916-771-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SECRET RAVINE PKWY",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613043",
            "telephone_number": "916-771-3300",
            "fax_number": "916-771-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B BARRY CHEHRAZI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-771-3300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine & Neurosurgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.