Organization Name: | PACIFIC BRAIN & SPINE MED GRP INC |
NPI Number: | 1023075678 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY BLAINE RANDALL (PRESIDENT) |
Mailing Address: | 20055 Lake Chabot Rd # 110 Castro Valley |
State: | CA US |
Postal Code: | 94546 |
Phone Number: | 5108863138 |
Fax Number: | 5103731616 |
NPI Enumeration Date: | 04/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207T00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neurological Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: | A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |