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J&P SPINE CENTER INC. NPI 1164980744


NPI Information

NPI: 1164980744
Provider Name: J&P SPINE CENTER INC.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 05D2237828

Address:
6079 N FRESNO ST STE 101
FRESNO, CA
ZIP 93710
Phone: (682) 433-9287
Get Directions

J&P SPINE CENTER INC. is a pain medicine physical medicine rehabilitation in Fresno, CA. The provider is 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. J&P SPINE CENTER INC. NPI is 1164980744. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6079 N FRESNO ST STE 101
FRESNO, CA
ZIP 93710-276
Phone: (682) 433-9287

The provider's authorized official is Justice Otchere .
The authorized official title is President and has the following contact phone number (682) 433-9287.

The CLIA number assigned to this NPI record is 05D2237828 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/4/2019 and was last updated on 4/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11073957932MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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