Organization Active NPI

Northcoast Neurosurgical Associates a Medical Corporation

  • Neurological Surgery Physician
  • Eureka, CA
National Provider Identifier
1609948603
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
FNP25793 Issued in CA
Legal business name
NORTHCOAST NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION
Practice address
2752 Harrison Ave
Suite a
Eureka, CA 95501-4738
Phone
(707) 268-0190
Fax
(707) 269-3791
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
John Aryanpur, MDNPI 1578616686
Title
President
Phone
(707) 268-0190

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X FNP25793 CA Primary

Addresses

Primary practice location

2752 Harrison Ave
Suite a
Eureka, CA 95501-4738

Mailing address

2752 Harrison Ave
Suite a
Eureka, CA 95501-4738
Phone (707) 268-0190

Other identifiers 1

IdentifierTypeStateIssuer
GR0084000OtherMEDI CAL

National Provider Directory

National Provider Directory

Locations

2888 Eureka Way
Redding, CA 96001
Phone (530) 225-8733

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": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1609948603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 HARRISON AVE",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014738",
            "telephone_number": "707-268-0190",
            "fax_number": "707-269-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 HARRISON AVE",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014738",
            "telephone_number": "707-268-0190",
            "fax_number": "707-269-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCOAST NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ARYANPUR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-268-0190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "FNP25793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "GR0084000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.