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HAIDER SPINE CENTER MEDICAL GROUP NPI 1023079183


NPI Information

NPI: 1023079183
Provider Name: HAIDER SPINE CENTER MEDICAL GROUP
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
6276 RIVER CREST DR
RIVERSIDE, CA
ZIP 92507
Phone: (952) 141-3020
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HAIDER SPINE CENTER MEDICAL GROUP is an orthopaedic surgery of the spine orthopaedic surgery in Riverside, 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. HAIDER SPINE CENTER MEDICAL GROUP NPI is 1023079183. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6276 RIVER CREST DR
RIVERSIDE, CA
ZIP 92507-754
Phone: (952) 141-3020
Fax: (951) 653-5161

The provider's authorized official is Thomas T Haider .
The authorized official title is President and has the following contact phone number (951) 413-0964.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 9/9/2010.


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
1363AS0400XPhysician AssistantSurgicalPA18101CALIFORNIANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineA107599CALIFORNIANo
3207T00000XNeurological Surgery20A8197CALIFORNIANo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineG81353CALIFORNIANo
5207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineG61537CALIFORNIAYes

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
1G61537MEDICARE UPINCALIFORNIA
21336353341MEDICARE UPINCALIFORNIA
3GR0086790MEDICAIDCALIFORNIA
41740213594OTHERCALIFORNIACHAD SWEETNAM
51760691745MEDICARE UPINCALIFORNIA
61790721025MEDICARE UPINCALIFORNIA
75699370001MEDICARE NSCCALIFORNIA
8ZZZ37592ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
91336100379MEDICARE UPINCALIFORNIA

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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