California Back Specialists Medical Group, Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

C31784 Issued in CA

Legal business name

CALIFORNIA BACK SPECIALISTS MEDICAL GROUP, INC

Practice address

1001 Newbury Rd
Newbury Park, CA 91320-6434

Phone

(805) 375-7900

Fax

(805) 375-7918

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Chih Chiu Sr., M.D.

Title

Ceo/President

Phone

(805) 375-7900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1861502205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NEWBURY RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206434",
            "telephone_number": "805-375-7900",
            "fax_number": "805-375-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEWBURY RD",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206434",
            "telephone_number": "805-375-7900",
            "fax_number": "805-375-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA BACK SPECIALISTS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHIH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "805-375-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "C31784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Newbury Park, CA
• Providers in Newbury Park, 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 Feb 3, 2017; 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.