JOHN VINCENT SPINE ASSOCIATES INC (NPI# 1659541365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659541365 |
| Entity Type | Organization |
| Organization Name | JOHN VINCENT SPINE ASSOCIATES INC |
| Practice Address |
800 S Raymond Ave Pasadena CA 91105-3229 |
| Mailing Address |
Po Box 90730 Pasadena CA 91109-0730 |
| Practice Telephone | 6267958051 |
| Practice Fax Number | 6267957374 |
| Mailing Telephone | 6267958051 |
| Mailing Fax Number | 6267957374 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-02-04 |
| Authorized Official Name | DR. WILLIAM M COSTIGAN (MANAGING PHYSCIAN) |
| Authorized Official Telephone | 6267958051 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Street Address |
800 S RAYMOND AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418893 | Michael J Fraipont | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2005-09-27 |
| 1629676184 | Allyson M Andreini | Physical Medicine & Rehabilitation | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2020-10-15 |
| 1255826244 | Adameros Camesa | Physician Assistant | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2018-06-22 |
| 1336637032 | Priscilla Thai | Physical Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2018-04-27 |
| 1619415858 | Hsueh-fang Ting | Occupational Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2017-02-08 |
| 1750830204 | Kyle Luong | Physical Therapist | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2016-09-26 |
| 1619343423 | Democratic Anesthesiologists Inc | Anesthesiology | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-08-16 |
| 1548645617 | Patriot Distribution LLC | Durable Medical Equipment & Medical Supplies | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-07-29 |
| 1609255405 | C7 Surgical Solutions Inc | Orthopaedic Surgery | 800 S Raymond Ave, Third Floor, Pasadena, CA 91105-3229 | 2015-05-26 |
| 1558754903 | Liberty Billing Inc | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2015-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405402 | Houston Scoliosis & Spine Institute, LLC | Orthopaedic Surgery | 3534 Vista Rd Ste 2000, Pasadena, TX 77504-1728 | 2018-11-06 |
| 1245641265 | Bradley Curtis Johnson | Orthopaedic Surgery | 39 Congress St Fl 2, Pasadena, CA 91105-3024 | 2014-05-13 |
| 1609255405 | C7 Surgical Solutions Inc | Orthopaedic Surgery | 800 S Raymond Ave, Third Floor, Pasadena, CA 91105-3229 | 2015-05-26 |
| 1639221948 | Walter Hynan Burnham Jr. | Orthopaedic Surgery | 10 Congress St, Suite103, Pasadena, CA 91105-3045 | 2007-01-17 |
| 1821042987 | Ben Bhupendra Pradhan | Orthopaedic Surgery | 2627 E Washington Blvd, Pasadena, CA 91107-1412 | 2006-05-20 |
| 1588646368 | Roy Freedman Ashford | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105 | 2005-11-16 |
| 1821084641 | William M Costigan | Orthopaedic Surgery | 800 S Raymond Ave, Pasadena, CA 91105-3229 | 2005-09-27 |
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| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
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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.