Humboldt Neurological Medical Group Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

HUMBOLDT NEUROLOGICAL MEDICAL GROUP INC

Practice address

2828 Oneil Lane
Eureka, CA 95503-4870

Phone

(707) 443-9385

Fax

(707) 443-0258

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Kurt Marvin Osborn, MD

Title

Vice President

Phone

(707) 443-9385

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1750461570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 ONEIL LANE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034870",
            "telephone_number": "707-443-9385",
            "fax_number": "707-443-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 ONEIL LANE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034870",
            "telephone_number": "707-443-9385",
            "fax_number": "707-443-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT NEUROLOGICAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-443-9385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ76652Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP2087",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Humboldt Orthopaedic Medical Associates, Inc.
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• Humboldt Physicians Surgery and Laser Center LLC
• Humboldt Radiology Medical Group Inc
• Humboldt Radiology Medical Group Inc

• Neurology Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.