ADVANCE SPINE CARE AND PAIN MANAGEMENT (NPI# 1801118690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801118690 |
| Entity Type | Organization |
| Organization Name | ADVANCE SPINE CARE AND PAIN MANAGEMENT |
| Practice Address |
2555 E Colorado Blvd Ste 306 Pasadena CA 91107-6648 |
| Practice Telephone | 6265388950 |
| Practice Fax Number | 6265667620 |
| Mailing Telephone | 6265388950 |
| Mailing Fax Number | 6265667620 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2018-05-02 |
| Authorized Official Name | KEVIN K LI (PRESIDENT) |
| Authorized Official Telephone | 6265388950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1083863690 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255781357 | Advance Spine Care and Pain Management | Durable Medical Equipment & Medical Supplies | 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107-6648 | 2016-06-20 |
| Street Address |
2555 E COLORADO BLVD STE 306 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-6648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083863690 | Kevin K Li | Anesthesiology | 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107-6648 | 2008-09-18 |
| 1255781357 | Advance Spine Care and Pain Management | Durable Medical Equipment & Medical Supplies | 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107-6648 | 2016-06-20 |
| 1124358593 | Anesthesia Expert Consultants | Anesthesiology | 2555 E Colorado Blvd Ste 306, Pasadena, CA 91107-6648 | 2010-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1750602652 | Plb United, Pa | Pain Medicine | 923 Pasadena Freeway, Pasadena, TX 77506-1400 | 2010-06-15 |
| 1659799518 | Jd United, Pa | Pain Medicine | 5010 Crenshaw Rd, Suite #130, Pasadena, TX 77505-3097 | 2014-03-28 |
| 1881800944 | Harbor Pain Associates | Pain Medicine | 8109 Ritchie Hwy, Pasadena, MD 21122-6917 | 2007-05-15 |
| 1013993252 | Pasadena Laser & Surgery Center | Pain Medicine | 960 E Green St, Suite 110, Pasadena, CA 91106-2401 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| 1841615762 | Peyman Gravori | Pain Medicine | 16311 Ventura Blvd Ste 1065-b, Encino, CA 91436-2124 | 2014-02-28 |
| Find all providers with the same taxonomy | ||||
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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.