BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP (NPI# 1114473972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114473972 |
| Entity Type | Organization |
| Organization Name | BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP |
| Practice Address |
2211 W Magnolia Blvd Suite 270 Burbank CA 91506-1753 |
| Practice Telephone | 8183252088 |
| Practice Fax Number | 8185636201 |
| Mailing Telephone | 8183252088 |
| Mailing Fax Number | 8185636201 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-12-26 |
| Authorized Official Name | DR. REGINALD C AJAKWE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8183252088 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
| Street Address |
2211 W MAGNOLIA BLVD SUITE 270 |
| City | BURBANK |
| State | CA |
| Zip Code | 91506-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737252 | Martin A Smietanka | Family Medicine | 2211 W Magnolia Blvd, 120, Burbank, CA 91506-1753 | 2005-06-02 |
| 1699201723 | Burbank Anesthesia Associates A Professional Medical Corporation | Anesthesiology | 2211 W Magnolia Blvd, Suite 270, Burbank, CA 91506-1753 | 2017-05-10 |
| 1316304595 | Balance & Hearing Resource Centers | Audiologist | 2211 W Magnolia Blvd, Suite 260, Burbank, CA 91506-1753 | 2016-01-19 |
| 1124431408 | Hope Therapy Center | Marriage & Family Therapist | 2211 W Magnolia Blvd, Suite 145, Burbank, CA 91506-1753 | 2014-06-04 |
| 1649690926 | Tara Calderon | Physical Therapist | 2211 W Magnolia Blvd, Suite 160, Burbank, CA 91506-1753 | 2014-04-24 |
| 1073876967 | Silva Arian | Radiologic Technologist | 2211 W Magnolia Blvd, Suite 205b, Burbank, CA 91506-1753 | 2012-06-17 |
| 1366697971 | Linda Lloyd Mcdermott | Nurse Practitioner | 2211 W Magnolia Blvd, #270, Burbank, CA 91506-1753 | 2008-11-24 |
| 1669642468 | Magnolia Pharmaceutical Corp | Pharmacy | 2211 W Magnolia Blvd, 115, Burbank, CA 91506-1753 | 2008-03-07 |
| 1366529125 | Carlos Apodaca | Social Worker | 2211 W Magnolia Blvd, #100, Burbank, CA 91506-1753 | 2006-11-01 |
| 1336251628 | San San Wai, M.d., A Medical Corporation | Internal Medicine | 2211 W Magnolia Blvd, Suite 230, Burbank, CA 91506-1753 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801427026 | Oc Hospice Care, Inc. | Hospice Care, Community Based | 2001 W Magolia Blvd Suite A1, Burbanbk, CA 91506 | 2020-01-27 |
| 1316578537 | Saint Iness Hospice Inc | Hospice Care, Community Based | 2001 W Magolia Blvd Suite B1, Burbank, CA 91506 | 2020-01-27 |
| 1528543394 | John A Gorostiza Villanueva Md, Inc | Physical Medicine & Rehabilitation | 2121 W Magnolia Blvd Ste B, Burbank, CA 91506 | 2018-09-27 |
| 1063995819 | Angela Ter-zakarian | Home Health Aide | 1130 W Olive Ave Unit C, Burbank, CA 91506 | 2018-09-07 |
| 1154807345 | Lusine Vardanyan | Optometrist | 1112 W Burbank Blvd Ste 204, Burbank, CA 91506 | 2018-07-11 |
| 1366942666 | Angel Wings Medical Associates | Clinic/Center | 1130 West Olive Ave., Burbank, CA 91506 | 2018-02-14 |
| 1427568757 | Claire Helen Bauer | Specialist/Technologist | 421 S Lamer St, Burbank, CA 91506 | 2017-09-29 |
| 1689021354 | Allstar Home Healthcare, Inc | Home Health | 2001 W Magnolia Blbd Suite A1, Burbank, CA 91506 | 2016-05-23 |
| 1598163230 | Saint Iness Home Healthcare, Inc | Home Health | 2001 W. Magnolia Blvd Suite A, Burbank, CA 91506 | 2014-12-11 |
| 1306245386 | Burbank Plastic Surgery Medical Group | Clinic/Center | 2301 W Alameda Ave, Burbank, CA 91506 | 2014-08-15 |
| Find all providers in zip 91506 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306245386 | Burbank Plastic Surgery Medical Group | Clinic/Center | 2301 W Alameda Ave, Burbank, CA 91506 | 2014-08-15 |
| 1457773442 | Vista Outpatient Surgery Center, Inc | Clinic/Center | 116 S Buena Vista St # 200, Burbank, CA 91505-4503 | 2014-01-10 |
| 1407035215 | Buena Vista Surgery Center Medical Group Inc | Clinic/Center | 2701 W. Alameda Avenue, Suite 401b, Burbank, CA 91505-4409 | 2007-10-29 |
| 1962527614 | Burbank Outpatient Surgery Center | Clinic/Center | 201 S Buena Vista St Ste 430, Burbank, CA 91505-4569 | 2007-03-20 |
| 1497788277 | Pacific Eye Surgery Center | Clinic/Center | 2829 W Burbank Blvd, Burbank, CA 91505-2300 | 2006-07-08 |
| 1457959082 | Optilife Surgery Center Inc | Clinic/Center | 2701 W Alameda Ave Ste 602, Burbank, CA 91505-4411 | 2020-10-15 |
| 1316455165 | Elite Outpatient Surgery Center Inc | Clinic/Center | 2701 W Alameda Ave Ste 308, Burbank, CA 91505-4408 | 2018-01-15 |
| 1386186781 | Buena Vista Surgery Center, LLC | Clinic/Center | 2701 W Alameda Ave, Suite 401b, Burbank, CA 91505-4402 | 2016-11-16 |
| 1134598550 | All In One Surgery Center | Clinic/Center | 2701 W Alameda Ave, Suite 308, Burbank, CA 91505-4402 | 2015-09-15 |
| 1295070399 | Burbank Surgery Center, Inc | Clinic/Center | 2701 W Alameda Ave, Suite 602, Burbank, CA 91505-4402 | 2012-11-30 |
| Find all providers in BURBANK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.