Organization Active NPI

Western Neurosurgical Medical Group

  • Specialist
  • Fremont, CA
National Provider Identifier
1780745067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WESTERN NEUROSURGICAL MEDICAL GROUP
Practice address
3868 Mowry Ave
Fremont, CA 94538-1430
Phone
(510) 792-2911
Fax
(510) 794-7924
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stanton Schiffer, M.D.NPI 1497848204
Title
President
Phone
(510) 792-2911

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3868 Mowry Ave
Fremont, CA 94538-1430

Mailing address

3868 Mowry Ave
Fremont, CA 94538-1430
Phone (510) 792-2911

National Provider Directory

National Provider Directory

Locations

3868 Mowry Ave
Fremont, CA 94538
Phone (510) 792-2911

Practitioners & affiliated clinicians

Practitioners 2

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780745067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381430",
            "telephone_number": "510-792-2911",
            "fax_number": "510-794-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3868 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381430",
            "telephone_number": "510-792-2911",
            "fax_number": "510-794-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEUROSURGICAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHIFFER",
        "authorized_official_first_name": "STANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-792-2911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • 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.