Organization Active NPI

Dimespine Neurosurgery Inc

  • Neurological Surgery Physician
  • Redwood City, CA
National Provider Identifier
1831518109
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A92374 Issued in CA
Legal business name
DIMESPINE NEUROSURGERY INC
Practice address
369 Main St Ste 200
Redwood City, CA 94063-1759
Phone
(888) 744-3463
Fax
(510) 350-9001
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sherwin Hua, MD, PHDNPI 1174546766
Title
President
Phone
(209) 845-1350

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A92374 CA Primary

Addresses

Primary practice location

369 Main St Ste 200
Redwood City, CA 94063-1759

Mailing address

205 Eucalyptus Ave
Hillsborough, CA 94010-6603
Phone (209) 845-1350

Other practice location 1

205 Eucalyptus Ave
Hillsborough, CA 94010-6603
Phone (209) 845-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141027001153 CA Part B Supplier - Clinic/Group Practice 5890916373 Receives reassigned benefits from 1 practitioner
Practice locations: Campbell, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831518109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 EUCALYPTUS AVE",
            "city": "HILLSBOROUGH",
            "state": "CA",
            "postal_code": "940106603",
            "telephone_number": "209-845-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 MAIN ST STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631759",
            "telephone_number": "888-744-3463",
            "fax_number": "510-350-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Eucalyptus Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "CA",
            "postal_code": "940106603",
            "country_code": "US",
            "telephone_number": "209-845-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIMESPINE NEUROSURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUA",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-845-1350",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A92374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.