Active NPI
Goradia Medical Corporation
Doing business as Nervana
- Neurological Surgery Physician
- Fair Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G86829
- Legal business name
- GORADIA MEDICAL CORPORATION
- Doing business as
- Nervana
- Practice address
- 4003 Bridge St
Fair Oaks, CA 95628-7503 - Phone
- (916) 534-1234
- NPI assigned
- Feb 3, 2010
- Last updated
- Feb 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tushar Goradia, MD, PHD
- Title
- President
- Phone
- (916) 534-1234
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G86829 | CA | Primary |
Addresses
Primary practice location
4003 Bridge St
Fair Oaks, CA 95628-7503
Mailing address
PO Box 39000
Dept# 34304
San Francisco, CA 94139-0001
Phone (916) 534-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689782484 | Other | CA | NPI |
Other names 1
- Nervana
National Provider Directory
National Provider Directory- Tax ID family
- Goradia Medical Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Carmichael, CA
- NPI 1689782484
Locations
4003 Bridge St
Fair Oaks, CA 95628
Phone (916) 534-1234
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Neurological Surgery Physician
- Fair Oaks, CA
- NPI 1619905007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266364800000",
"number": "1386976249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39000",
"address_2": "DEPT# 34304",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941390001",
"telephone_number": "916-534-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 BRIDGE ST",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287503",
"telephone_number": "916-534-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORADIA MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-17",
"status": "A",
"authorized_official_last_name": "GORADIA",
"authorized_official_first_name": "TUSHAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-534-1234",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G86829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1689782484",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nervana",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.