Premier Brain & Spine Institute, Inc
NPI 1275588105ActiveOrganization· Neurological Surgery· San Jose, CA
Neurological Surgery in San Jose, California, registered in NPPES in May 2006. The authorized official on file is Edward Rustamzadeh, MD, Neurosurgeon. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275588105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2006 |
| Last updated in NPPES | Sep 25, 2026 |
| Certified by provider | Sep 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | A90229 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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