βœ“ Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon) (207T00000X)

360 MIND (NPI #1366753683)

Neurological Surgery • SANTA MONICA, CA • Status: Active Federal Registration

Plain-English Taxonomy Translation (207T00000X)

What Does Taxonomy Code 207T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207T00000X translates in plain language to:
"Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)"

Primary Certifying / Accrediting Authority: American Board of Neurological Surgery (ABNS)
When Patients Should Consult: Brain tumors, cerebral aneurysms, spinal cord compression, herniated discs with motor weakness, hydrocephalus, or cranial CSF leaks.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 360 MIND:

High-Volume Clinical Procedures & Diagnostics:
  • Microsurgical Craniotomy for Brain Tumors & Intracranial Aneurysm Clipping/Coiling
  • Anterior Cervical Discectomy & Fusion (ACDF) & Lumbar Microdiscectomy
  • Endoscopic Skull-Base Repair of Cerebrospinal Fluid (CSF) Rhinorrhea/Otorrhea
  • Ventriculoperitoneal (VP) Shunt Placement for Hydrocephalus
Common Therapeutic & Prescribing Classes:
  • Dexamethasone (Cerebral Edema Reduction) & Levetiracetam (Seizure Prophylaxis)
  • Mannitol & Hypertonic Saline (Intracranial Pressure Management)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1366753683 (NPI-2 Organization / Facility)
Provider / Legal Name360 MIND
Plain-English SpecialtyBoard-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)
NUCC Code: 207T00000X (Neurological Surgery)
Certifying / Licensing BodyAmerican Board of Neurological Surgery (ABNS)
Practice Location Address1328 22ND ST, SANTA MONICA, CA, 904042032
Practice Telephone / FaxTel: 310-582-7450 | Fax: 310-582-7495
Administrative Mailing AddressPO BOX 7111, SANTA MONICA, CA, 904067111
Enumeration & Last SyncEnumerated: 2010-07-01 | Updated: 2010-07-01
Authorized OfficialKATHERINE KERR (VP of Operations)

Clinic Location, Accessibility & Directions

πŸ“ Practice Location & Patient Access

1328 22ND ST, SANTA MONICA, CA, 904042032

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207T00000X β€” Neurological Surgery
Plain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)
State: CA | License: C53853 | Primary Taxonomy: Secondary
207Y00000X β€” Otolaryngology
Plain English: Licensed & Credentialed Otolaryngology
State: CA | License: G88653 | Primary Taxonomy: Secondary
207T00000X β€” Neurological Surgery
Plain English: Board-Certified Neurosurgeon (Brain, Cranial & Spine Surgeon)
State: CA | License: G77318 | Primary Taxonomy: Yes