SKYE SPINE & PAIN MEDICAL GROUP, INC (NPI# 1558725994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558725994 |
| Entity Type | Organization |
| Organization Name | SKYE SPINE & PAIN MEDICAL GROUP, INC |
| Practice Address |
1314 W Avenue J Ste A Lancaster CA 93534-2936 |
| Practice Telephone | 6617260136 |
| Mailing Telephone | 6617260136 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | DR. ERIC SHAVER (CHIROPRACTOR) |
| Authorized Official Telephone | 6617260136 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
Nursing Service Providers |
| Street Address |
1314 W AVENUE J STE A |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124659685 | Fiji Simmons | Registered Nurse | 16379 E Preserve Loop Unit 2009, Chino, CA 91708-9400 | 2020-02-03 |
| 1396210605 | Nicole Joy Davis | Registered Nurse | 2970 Pawnee Ct, Redding, CA 96001-3482 | 2018-10-12 |
| 1164896957 | Mobile Palliative Care, Inc. | Registered Nurse | 18302 Sierra Hwy Ste 103, Canyon Country, CA 91351-6126 | 2015-11-17 |
| 1821481706 | Tara Jeffery | Registered Nurse | 512 N Blanche St, Ojai, CA 93023-2517 | 2015-03-16 |
| 1689971863 | Constance Louise Borden | Registered Nurse | 426 Day St, San Francisco, CA 94131-2229 | 2011-02-23 |
| 1184643579 | Catherine R Copeland | Registered Nurse | 485 Antelope Blvd Ste G, Red Bluff, CA 96080-2444 | 2006-07-18 |
| 1174908206 | Janet Elaine Conley | Registered Nurse | 39000 Bob Hope Drive, Harry & Diane Rinker Building, Rancho Mirage, CA 92270 | 2015-07-30 |
| 1770970899 | Timothy Wayne Mansouri | Registered Nurse | 1600 Creekside Dr Ste 2400, Folsom, CA 95630-3485 | 2015-04-16 |
| 1316287436 | Karen Lane | Registered Nurse | 4305 Gesner St Ste 101, San Diego, CA 92117-6673 | 2013-02-26 |
| 1740506575 | Julie Mallory | Registered Nurse | 1524 Mchenry Ave Ste 470, Modesto, CA 95350-4572 | 2010-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.