BRAIN AND SPINE INSTITUTE OF CALIFORNIA, INC. (NPI# 1972890796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972890796 |
Entity Type | Organization |
Organization Name | BRAIN AND SPINE INSTITUTE OF CALIFORNIA, INC. |
Practice Address |
4631 Teller Ave Ste 100 Newport Beach CA 92660-8105 |
Practice Telephone | 9493357500 |
Practice Fax Number | 9493357500 |
Mailing Telephone | 9493357500 |
Mailing Fax Number | 9493871206 |
Enumeration Date | 2011-06-30 |
Last Update Date | 2015-11-02 |
Authorized Official Name | GOWRIHARAN THAIYANANTHAN (PRESIDENT) |
Authorized Official Telephone | 2033766364 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A103609 | CA | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | A31505 | CA | Allopathic & Osteopathic Physicians |
N | 207T00000X | Neurological Surgery | A80845 | CA | Allopathic & Osteopathic Physicians |
N | 207T00000X | Neurological Surgery | A99924 | CA | Allopathic & Osteopathic Physicians |
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A130152 | CA | Allopathic & Osteopathic Physicians |
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A135941 | CA | Allopathic & Osteopathic Physicians |
Street Address |
4631 TELLER AVE STE 100 |
City | NEWPORT BEACH |
State | CA |
Zip Code | 92660-8105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124100300 | Michael P Blasko | Physician Assistant | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2006-10-19 |
1003444597 | Starly Alvarado | Nurse Practitioner | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2020-03-30 |
1437782554 | Tamar Michelle Katz | Psychiatry & Neurology | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2020-02-17 |
1477029791 | Tannaz Jourabchian | Physician Assistant | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2018-10-15 |
1639355472 | Bryan C Oh | Neurological Surgery | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2008-01-10 |
1790841799 | Navid Farahmand | Anesthesiology | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2006-12-28 |
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 | 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 |
---|---|---|---|---|
1871811331 | Neel Pravin Shah | Orthopaedic Surgery | 3501 Jamboree Rd Ste 1250, Newport Beach, CA 92660-2939 | 2010-05-08 |
1518433457 | Trias Global, LLC | Orthopaedic Surgery | 3501 Jamboree Rd Ste 1250, Newport Beach, CA 92660-2939 | 2018-10-18 |
1972973501 | One Brain and Spine Physicians | Orthopaedic Surgery | 361 Hospital Rd, Suite 224, Newport Beach, CA 92663-3522 | 2015-09-25 |
1851523633 | Ravi Srinivas | Orthopaedic Surgery | 3300 W Coast Hwy Ste A, Newport Beach, CA 92663-4025 | 2009-08-13 |
1679752158 | John Carlisle Brown Md Inc | Orthopaedic Surgery | 3900 W Coast Hwy, Suite 300, Newport Beach, CA 92663-4091 | 2007-10-31 |
1972666840 | Hamid Mir Md Inc | Orthopaedic Surgery | 3501 Jamboree Rd, Suite 1250, Newport Beach, CA 92660-2939 | 2006-12-19 |
1639106669 | Steven Charles Dennis | Orthopaedic Surgery | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7901 | 2006-06-26 |
1184669905 | Michael Louis Gordon | Orthopaedic Surgery | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7901 | 2006-06-17 |
1699730945 | John Carlisle Brown | Orthopaedic Surgery | 361 Hospital Rd, Suite 523, Newport Beach, CA 92663-3522 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
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 |
Find all providers with the same taxonomy |
City | NEWPORT BEACH |
Zip Code | 92660 |
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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.