Provider Type Icon

CENTER FOR INTERVENTIONAL SPINE A MEDICAL CORPORATION NPI 1760606537


NPI Information

NPI: 1760606537
Provider Name: CENTER FOR INTERVENTIONAL SPINE, A MEDICAL CORPORATION
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2424 ARDEN WAY STE 301
SACRAMENTO, CA
ZIP 95825
Phone: (916) 977-0741
Get Directions

CENTER FOR INTERVENTIONAL SPINE, A MEDICAL CORPORATION is an interventional pain medicine pain medicine in Sacramento, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. CENTER FOR INTERVENTIONAL SPINE, A MEDICAL CORPORATION NPI is 1760606537. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2424 ARDEN WAY STE 301
SACRAMENTO, CA
ZIP 95825-464
Phone: (916) 977-0741
Fax: (916) 977-0547

The provider's authorized official is Carl Hyun-geol Shin .
The authorized official title is Medical Director and has the following contact phone number (916) 977-0741.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 3/31/2023.


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 MedicineA60900CALIFORNIANo
22081P2900XPhysical Medicine & RehabilitationPain MedicineCALIFORNIANo
3208VP0014XPain MedicineInterventional Pain MedicineA60900CALIFORNIANo
4332900000XNon-Pharmacy Dispensing SiteA60900CALIFORNIANo
5208VP0014XPain MedicineInterventional Pain MedicineCALIFORNIAYes

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
1G64120OTHERCALIFORNIACARL SHIN UPIN
21255473575OTHERCALIFORNIACARL SHIN NPI
35628017OTHERCALIFORNIANCPDP

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.