Organization
PREMIER BRAIN & SPINE INSTITUTE, INC
Active
Organization
PREMIER BRAIN & SPINE INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD RUSTAMZADEH M.D. (PRESIDENT)
(650) 319-5559
Entity
Organization
Contact information
Practice address
393 BLOSSOM HILL RD STE 295, SAN JOSE, CA 95123-1654
(408) 540-6861
(408) 540-6865
Mailing address
393 BLOSSOM HILL RD STE 295, SAN JOSE, CA 95123-1654
(408) 540-6861
(408) 540-6865
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A90229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275588105
NPI TYPE 2
CA
01
—
1861453318
NPI
CA
Enumeration date
05/22/2006
Last updated
12/19/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up