California Spine Center a Professional Medical Corporation

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A85014 Issued in CA

Legal business name

CALIFORNIA SPINE CENTER A PROFESSIONAL MEDICAL CORPORATION

Practice address

2123 Ygnacio Valley Road
Building K, Suite 200
Walnut Creek, CA 94598

Phone

(925) 926-0195

Fax

(925) 926-0194

NPI assigned

May 3, 2007

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David W. Chow, M.D.NPI 1700823762

Title

Owner/Provider

Phone

(925) 926-0195

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David W. Chow, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Walnut Creek, CA
  • NPI 1700823762
  Medicare reassignment Care Compare group NPD Authorized official
• Hannah Krizzia Rivera, FNP-C

  • Family Nurse Practitioner
  • Danville, CA
  • NPI 1720627185
  Medicare reassignment Care Compare group NPD
• Martha Carmella Wilkins, PA-C

  • Medical Physician Assistant
  • Walnut Creek, CA
  • NPI 1215508775
  Medicare reassignment Care Compare group
• Benjamin Moret, FNP-C

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1184055295
  NPD (past)
• Najiba Y Saleh, NP

  • Family Nurse Practitioner
  • Pleasanton, CA
  • NPI 1811634934
  NPD (past)
• Katasha Taylor

  • Family Nurse Practitioner
  • Walnut Creek, CA
  • NPI 1427502004
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1114149341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 YGNACIO VALLEY ROAD",
            "address_2": "BUILDING K, SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-926-0195",
            "fax_number": "925-926-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 YGNACIO VALLEY ROAD",
            "address_2": "BUILDING K, SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-926-0195",
            "fax_number": "925-926-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPINE CENTER A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "925-926-0195",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A85014",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A85014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Emergency Physician Medical Group
• California Eye Clinic
• California Eye Clinic
• California Imaging and Treatment Center LLC
• California Integrative Medicine, Inc. (Center for Regenerative Medicine)
• California Sports Physical Therapy Centers Inc (California Rehabilitation and Sports Therapy)
• Nancy Ann Calkin, PT,CHT
• Timothy Patrick Callahan, DDS
• Thomas M. Callan, OD
• Christopher G. Callas

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.