San Diego Neurotrauma Associates Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A62563 Issued in CA

Legal business name

SAN DIEGO NEUROTRAUMA ASSOCIATES INC

Practice address

7625 Mesa College Dr Ste 305a
San Diego, CA 92111-5343

Phone

(858) 223-2100

Fax

(858) 223-2101

NPI assigned

Jan 21, 2009

Last updated

Jan 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sanjay Ghosh, MDNPI 1346285566

Title

Owner

Phone

(619) 229-3105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott P Leary, MD

  • Neurological Surgery Physician
  • San Diego, CA
  • NPI 1417085978
  Medicare reassignment NPD
• Peter Robert Schultz, MSN, CRNP

  • Family Nurse Practitioner
  • Shenandoah, TX
  • NPI 1013942572

  CA

  Medicare reassignment NPD
• Jeffrey Stephen Schweitzer, MD

  • Neurological Surgery Physician
  • Boston, MA
  • NPI 1659420982

  CA

  Medicare reassignment NPD
• Sanjay Ghosh, M.D.

  • Neurological Surgery Physician
  • San Diego, CA
  • NPI 1346285566
  NPD Authorized official
• Amanda Williams Gumbert, P.A.

  • Surgical Physician Assistant
  • San Diego, CA
  • NPI 1891723870
  Medicare reassignment
• Mario Alberto Lopez, PA-C

  • Medical Physician Assistant
  • Spring Valley, CA
  • NPI 1932335080
  Medicare reassignment
• Felix Matthew Regala, PA-C

  • Physician Assistant
  • San Diego, CA
  • NPI 1427360973
  Medicare reassignment
• Tracy Mejia Sebastian, PA-C

  • Medical Physician Assistant
  • San Diego, CA
  • NPI 1962716183
  Medicare reassignment
• Michael Joseph O'Leary, M.D.

  • Otology & Neurotology Physician
  • San Diego, CA
  • NPI 1417986613
  NPD (past)

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1780822213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 305A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-223-2100",
            "fax_number": "858-223-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 305A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-223-2100",
            "fax_number": "858-223-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6645 Alvarado Rd",
            "address_2": "Suite 4000",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205208",
            "country_code": "US",
            "telephone_number": "619-229-3105",
            "fax_number": "619-229-3127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN DIEGO NEUROTRAUMA ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "GHOSH",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-229-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A62563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Mobile Podiatry Inc
• San Diego MRI Institute, LLC
• San Diego Musculoskeletal Institute
• San Diego Neonatology, Inc.
• San Diego Neurosurgery and Spine Institute
• San Diego Occupational Therapi Inc
• San Diego Occupational Therapy
• San Diego Occupational Therapy, Inc
• San Diego Oncology Medical Clinic
• San Diego Orthopaedic Associates Medical Group, Inc.

• Neurological Surgery Physician in San Diego, CA
• Providers in San Diego, 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 Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.