SPINE AXIS MEDICAL INC. NPI 1811365414

NPI Information

  • NPI: 1811365414
  • Provider Name: SPINE AXIS MEDICAL, INC.
  • Classification: Specialist/Technologist, Other - 246ZE0600X
  • Specialization: Electroneurodiagnostic
  • Entity Type: Organization
  • Address: 10808 FOOTHILL BLVD
    SUITE 160-409
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 373-4633

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NPI Details

SPINE AXIS MEDICAL, INC. is an electroneurodiagnostic specialist technologist other in Rancho Cucamonga, CA. SPINE AXIS MEDICAL, INC. NPI is 1811365414. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10808 FOOTHILL BLVD
SUITE 160-409
RANCHO CUCAMONGA, CA
ZIP 91730-889
Phone: (909) 373-4633

The provider's authorized official is Joe Wright .
The authorized official title is Ceo and has the following contact phone number (909) 373-4633.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 9/14/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistNo
2246RP1900XTechnician, PathologyPhlebotomyNo
3246YC3302XSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedNo
4247200000XTechnician, OtherNo
52472E0500XTechnician, OtherEEGNo
6305R00000XPreferred Provider OrganizationNo
7305S00000XPoint of ServiceNo
8332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
9246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticYes

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: 11/21/2025

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