Provider Type Icon

SPINECARE MEDICAL GROUP INC NPI 1720050859


NPI Information

NPI: 1720050859
Provider Name: SPINECARE MEDICAL GROUP INC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
455 HICKEY BLVD
SUITE 310
DALY CITY, CA
ZIP 94015
Phone: (650) 985-7500
Get Directions

SPINECARE MEDICAL GROUP INC is an orthopaedic surgery of the spine orthopaedic surgery in Daly City, CA. The provider is 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. SPINECARE MEDICAL GROUP INC NPI is 1720050859. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

455 HICKEY BLVD
SUITE 310
DALY CITY, CA
ZIP 94015
Phone: (650) 985-7500
Fax: (650) 731-4434

The provider's authorized official is James B Reynolds .
The authorized official title is Medical Doctor and has the following contact phone number (650) 985-7500.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 2/14/2018.


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
1103T00000XPsychologistNo
2207LP2900XAnesthesiologyPain MedicineNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes
42081P2900XPhysical Medicine & RehabilitationPain MedicineNo
5208VP0000XPain MedicinePain MedicineNo

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
1CD7208OTHERCALIFORNIAMEDICARE RAILROAD GRP#
2GR0041210MEDICAIDCALIFORNIA
3ZZZ19182ZOTHERCALIFORNIABLUE SHIELD GRP#

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.