North Bay Neurosurgical Associates Medical Group

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

C40718 Issued in CA

Legal business name

NORTH BAY NEUROSURGICAL ASSOCIATES MEDICAL GROUP

Practice address

525 Doyle Park Dr
Suite 102
Santa Rosa, CA 95405-4516

Phone

(707) 525-1873

Fax

(707) 523-0119

NPI assigned

Mar 26, 2007

Last updated

May 21, 2012By 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

Alan T. Hunstock, M.D.

Title

Presidenti

Phone

(707) 523-1873

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1801914163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 DOYLE PARK DR",
            "address_2": "SUITE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054516",
            "telephone_number": "707-525-1873",
            "fax_number": "707-523-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 DOYLE PARK DR",
            "address_2": "SUITE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054516",
            "telephone_number": "707-525-1873",
            "fax_number": "707-523-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY NEUROSURGICAL ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "HUNSTOCK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENTI",
        "authorized_official_telephone_number": "707-523-1873",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C40718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0030300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Bay Eye Associates, a Medical Corporation (North Bay Eye Associates, Inc)
• North Bay Foot and Ankle Clinic, Inc (Adelina B. Stateva)
• North Bay Medical Group Surgery Center
• North Bay Medical Group, Inc.
• North Bay Neuropsychology a Psychology Corporation
• North Bay Pain Care
• North Bay Psychiatric Associates Inc
• North Bay Sleep Medicine Institute, Inc.
• North Coast Faculty Medical Group Inc (Sutter Medical Group of the Redwoods)
• North Coast Faculty Medical Group Inc. (Sutter Medical Group of the Redwoods)

• Neurological Surgery Physician in Santa Rosa, CA
• Providers in Santa Rosa, 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 May 21, 2012; 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.