Organization Active NPI

J&P Spine Center Inc

  • Interventional Pain Medicine Physician
  • Fresno, CA
National Provider Identifier
1093697641
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
J&P SPINE CENTER INC
Practice address
6079 N Fresno St Ste 101
Fresno, CA 93710-5276
Phone
(559) 538-3145
Fax
(661) 310-3848
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Justice Otchere, MDNPI 1073957932
Title
Medical Director
Phone
(682) 433-9287

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

6079 N Fresno St Ste 101
Fresno, CA 93710-5276

Mailing address

6079 N Fresno St Ste 101
Fresno, CA 93710-5276
Phone (559) 538-3145

Other practice location 1

1334 W Herndon Ave
Fresno, CA 93711-0431
Phone (559) 538-3145

Other practice location 2

1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118
Phone (559) 538-3145

Other practice location 3

530 Kings County Dr Ste 107
Hanford, CA 93230-3579
Phone (559) 538-3145

Other practice location 4

7050 N Recreation Ave Ste 11
Fresno, CA 93720-8001
Phone (559) 538-3145

Other practice location 5

457 E Almond Ave Ste 105
Madera, CA 93637-5764
Phone (559) 538-3145

National Provider Directory

National Provider Directory
Tax ID family
JP Spine Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1334 W Herndon Ave
Fresno, CA 93711
Phone (559) 538-3145

Practitioners & affiliated clinicians

Practitioners 2

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": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1093697641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6079 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105276",
            "telephone_number": "559-538-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105276",
            "telephone_number": "559-538-3145",
            "fax_number": "661-310-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1334 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110431",
            "country_code": "US",
            "telephone_number": "559-538-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1332 W Herndon Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937117118",
            "country_code": "US",
            "telephone_number": "559-538-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Kings County Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303579",
            "country_code": "US",
            "telephone_number": "559-538-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7050 N Recreation Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937208001",
            "country_code": "US",
            "telephone_number": "559-538-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "457 E Almond Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936375764",
            "country_code": "US",
            "telephone_number": "559-538-3145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "J&P SPINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "OTCHERE",
        "authorized_official_first_name": "JUSTICE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "682-433-9287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.