SAN DIEGO SPINE & PAIN CENTER LLC NPI 1972955128

NPI Information

  • NPI: 1972955128
  • Provider Name: SAN DIEGO SPINE & PAIN CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 13029 POMERADO RD
    SUITE C
    POWAY, CA
    ZIP 92064
  • Phone: (858) 312-5016

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NPI Details

SAN DIEGO SPINE & PAIN CENTER, LLC is an ambulatory surgical clinic center in Poway, CA. SAN DIEGO SPINE & PAIN CENTER, LLC NPI is 1972955128. The provider is registered as an organization entity type.

The provider's business location address is:

13029 POMERADO RD
SUITE C
POWAY, CA
ZIP 92064-246
Phone: (858) 312-5016
Fax: (858) 312-5018

The provider's authorized official is Lanette V. Bumgardner .
The authorized official title is Owner/ceo and has the following contact phone number (310) 594-5640.

The enumeration date for this NPI number is 7/11/2016 and was last updated on 7/11/2016.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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