Children'S Neurosurgical Associates, Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G76016 Issued in CA

Legal business name

CHILDREN'S NEUROSURGICAL ASSOCIATES, INC.

Practice address

747 52ND Street
Suite 5203
Oakland, CA 94609

Phone

(510) 428-3319

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter P. Sun, M.D.

Title

President

Phone

(510) 428-3319

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609979962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND STREET",
            "address_2": "SUITE 5203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-428-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND STREET",
            "address_2": "SUITE 5203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-428-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S NEUROSURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-428-3319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G76016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G76016",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children'S Hospital Oakland
• Children'S Hospital Oakland
• Children'S Hospital Oakland
• Children'S Hospital Research Center Oakland
• Children'S Infectious Disease Medical Group, Inc.
• Children'S Orthopaedic Associates Medical Group, Inc.
• Children'S Pathology Consultants Medical Corp., Inc.
• Childrens Anesthesia Medical Group Inc
• Childrens Hospital & Research Center at Oakland
• Childrens Hospital & Research Center at Oakland

• Neurological Surgery Physician in Oakland, CA
• Providers in Oakland, 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 Aug 22, 2020; 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.