BRAIN AND SPINE INSTITUTE OF CALIFORNIA, INC.


Address: 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105
Phone: 9493357500

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4631 TELLER AVE STE 100
City NEWPORT BEACH
State CA
Zip Code 92660-8105

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XS0117X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Surgery of the Spine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City NEWPORT BEACH
Zip Code 92660

Improve Information

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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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