Neurosurgical Trauma Medical Group Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEUROSURGICAL TRAUMA MEDICAL GROUP INC

Practice address

25751 McBean Pkwy Ste 305
Valencia, CA 91355-3701

Phone

(661) 799-2542

Fax

(661) 367-9198

NPI assigned

Jun 5, 2017

Organization subpart

No

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

Authorized official

Name

Cari Lee McCarthy, CPC

Title

Billing Manager

Phone

(661) 799-2542

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1730618752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802826",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913802826",
            "telephone_number": "661-799-2542",
            "fax_number": "661-367-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25751 MCBEAN PKWY STE 305",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553701",
            "telephone_number": "661-799-2542",
            "fax_number": "661-367-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL TRAUMA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "661-799-2542",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "01-OTHER (NON-MEDICARE)",
            "identifier": "00",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Valencia, CA
• Providers in Valencia, 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 Jun 5, 2017; 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.