PREMIER SPINE NEUROSURGERY, INC (NPI# 1811409097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811409097 |
| Entity Type | Organization |
| Organization Name | PREMIER SPINE NEUROSURGERY, INC |
| Practice Address |
3501 Jamboree Rd Ste 1200 Newport Beach CA 92660-2904 |
| Practice Telephone | 9499887800 |
| Mailing Telephone | 9499887800 |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | AMER KHALIL (OWNER) |
| Authorized Official Telephone | 6174070413 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3501 JAMBOREE RD STE 1200 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205490448 | Surgical Oasis Institute | Surgery | 496 Old Newport Blvd Ste 2, Newport Beach, CA 92663-4264 | 2019-04-23 |
| 1881170108 | Newport Coast Surgical Center, LLC | Surgery | 4501 Birch St Ste A, Newport Beach, CA 92660-1928 | 2018-07-19 |
| 1851704092 | Steven C Chang | Surgery | 1000 Dove Street, Suite250, Newport Beach, CA 92660 | 2014-06-05 |
| 1821331547 | Robert G. Burns, M.d., Inc. | Surgery | 360 San Miguel Dr Ste 608, Newport Beach, CA 92660-7832 | 2013-04-01 |
| 1295902070 | Lisa E. Guerra, M.d., Inc | Surgery | One Hoag Dr., Hoag Breast Center, Sue and Bill Gross Women's Pavilion, Newport Beach, CA 92663-4162 | 2008-05-12 |
| 1962673434 | David M. Crnic, Md | Surgery | 307 Placentia Ave Ste 110, Newport Beach, CA 92663-3307 | 2008-03-12 |
| 1235323361 | Center for Advanced Laparoscopic Surgery Inc | Surgery | 496 Old Newport Blvd Ste 6, Newport Beach, CA 92663-4264 | 2007-08-31 |
| 1477609881 | Brian Bernard Quebbemann | Surgery | 3701 Birch St, Suite 200, Newport Beach, CA 92660 | 2007-01-26 |
| 1548343072 | Michael V. Elam | Surgery | 360 San Miguel Dr Ste 207, Newport Beach, CA 92660-7820 | 2006-10-20 |
| 1982701082 | Marvin Kaplan | Surgery | 1548 Galaxy Dr, Newport Beach, CA 92660-4922 | 2006-09-20 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on PREMIER SPINE NEUROSURGERY, INC.
| 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.