UNIVERSITY SPINE & PAIN CENTER


Address: 555 Pier Ave, Suite 1, Hermosa Beach, CA 90254-3839
Phone: 4244880500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
A95636 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 555 PIER AVE
SUITE 1
City HERMOSA BEACH
State CA
Zip Code 90254-3839

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City HERMOSA BEACH
Zip Code 90254

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Dataset Information

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.

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