Active NPI
Haider Spine Center Medical Group Inc
- Orthopaedic Surgery of the Spine Physician
- Riverside, CA
National Provider Identifier
1023079183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G61537
- Legal business name
- HAIDER SPINE CENTER MEDICAL GROUP INC
- Practice address
- 6276 River Crest Dr
Riverside, CA 92507-0754 - Phone
- (952) 141-3020
- Fax
- (951) 653-5161
- NPI assigned
- Mar 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas T Haider, M.D.
- Title
- President
- Phone
- (951) 413-0964
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 20A8197 | CA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G61537 | CA | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A107599 | CA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G81353 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA18101 | CA |
Addresses
Primary practice location
6276 River Crest Dr
Riverside, CA 92507-0754
Mailing address
6276 River Crest Dr Ste a
Riverside, CA 92507-0754
Phone (951) 413-0200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740213594 | Other | CA | CHAD SWEETNAM |
| GR0086790 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
26520 Cactus Ave
Rm E152
Moreno Valley, CA 92555
Phone (909) 486-6583
6276 River Crest Dr
Ste A
Riverside, CA 92507
Phone (951) 413-0200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Riverside, CA
- NPI 1336100379
-
- Orthopaedic Surgery Physician
- Riverside, CA
- NPI 1437648961
-
- Surgical Physician Assistant
- Riverside, CA
- NPI 1851755128
-
- Neurological Surgery Physician
- Riverside, CA
- NPI 1336353341
-
- Orthopaedic Surgery of the Spine Physician
- Riverside, CA
- NPI 1457557100
-
- Neurological Surgery Physician
- Riverside, CA
- NPI 1750607099
-
- Orthopedic Chiropractor
- Riverside, CA
- NPI 1548342017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1023079183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6276 RIVER CREST DR STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070754",
"telephone_number": "951-413-0200",
"fax_number": "951-653-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6276 RIVER CREST DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925070754",
"telephone_number": "952-141-3020",
"fax_number": "951-653-5161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAIDER SPINE CENTER MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "HAIDER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-413-0964",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "20A8197",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G61537",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A107599",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G81353",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA18101",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAD SWEETNAM",
"identifier": "1740213594",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0086790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.