NPIMap

Organization Active NPI

Neurovascular and Spine Associates, a Medical Corporation

  • Specialist
  • Mission Viejo, CA
National Provider Identifier
1033474366
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEUROVASCULAR AND SPINE ASSOCIATES, A MEDICAL CORPORATION
Practice address
27799 Medical Center Rd Ste 200
Mission Viejo, CA 92691-6400
Phone
(951) 365-1841
Fax
(949) 482-2644
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hamed Faird, M.D.
Title
President
Phone
(951) 365-1841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

27799 Medical Center Rd Ste 200
Mission Viejo, CA 92691-6400

Mailing address

1038 E Bastanchury Rd
Suite 293
Fullerton, CA 92835-2786
Phone (951) 365-1841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130226000092 CA Part B Supplier - Clinic/Group Practice 7113172081 Receives reassigned benefits from 8 practitioners
Practice locations: Anaheim, CA; Mission Viejo, CA; Palm Springs, CA; Temecula, CA

National Provider Directory

National Provider Directory

Locations

27799 Medical Center Rd
Mission Viejo, CA 92691
Phone (844) 959-4673

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1033474366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E BASTANCHURY RD",
            "address_2": "SUITE 293",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352786",
            "telephone_number": "951-365-1841",
            "fax_number": "949-482-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27799 MEDICAL CENTER RD STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916400",
            "telephone_number": "951-365-1841",
            "fax_number": "949-482-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROVASCULAR AND SPINE ASSOCIATES, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "FAIRD",
        "authorized_official_first_name": "HAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-365-1841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.

Verify at the official NPI Registry.