UNIVERSITY SPINE & PAIN CENTER (NPI# 1922435411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922435411 |
Entity Type | Organization |
Organization Name | UNIVERSITY SPINE & PAIN CENTER |
Practice Address |
555 Pier Ave Suite 1 Hermosa Beach CA 90254-3839 |
Practice Telephone | 4244880500 |
Practice Fax Number | 4244880498 |
Mailing Telephone | 4244880500 |
Mailing Fax Number | 4244880498 |
Enumeration Date | 2013-09-30 |
Last Update Date | 2014-06-30 |
Authorized Official Name | DR. BAO NGUYEN (CEO) |
Authorized Official Telephone | 7142545751 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A95636 | CA | Allopathic & Osteopathic Physicians |
Street Address |
555 PIER AVE SUITE 1 |
City | HERMOSA BEACH |
State | CA |
Zip Code | 90254-3839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982638839 | Noel Lee Chun | Anesthesiology | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2006-07-10 |
1164070736 | Dana Connolly | Nurse Practitioner | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2019-08-27 |
1437678026 | Karina Ray Ritter | Nurse Practitioner | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2017-09-14 |
1023569555 | Kimberly Dawn Keim | Nurse Practitioner | 555 Pier Ave, Suite E, Hermosa Beach, CA 90254-3839 | 2016-10-19 |
1467844407 | Br Lab and Radiology | Pain Medicine | 555 Pier Ave, Ste #1, Hermosa Beach, CA 90254-3839 | 2015-02-27 |
1295162808 | University Spine and Pain Center Inc | Physical Medicine & Rehabilitation | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2013-09-27 |
1609209899 | Hermosa Beach Surgery Center, LLC | Clinic/Center | 555 Pier Ave, Hermosa Beach, CA 90254-3839 | 2013-08-12 |
1922286855 | Kiowa Enterprises, LLC | Clinic/Center | 555 Pier Ave, Suite 1-a, Hermosa Beach, CA 90254-3839 | 2008-02-01 |
1194913756 | Bao Thai Nguyen | Physical Medicine & Rehabilitation | 555 Pier Ave, Suite #1, Hermosa Beach, CA 90254-3839 | 2007-10-09 |
1255536413 | Shannon Johnson Wheat | Anesthesiology | 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839 | 2007-06-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
Find all providers in zip 90254 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
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City | HERMOSA BEACH |
Zip Code | 90254 |
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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.