Organization Active NPI

Burbank Spine and Pain Surgery Center a Professional Medical Corp

  • Ambulatory Surgical Clinic/Center
  • Burbank, CA
National Provider Identifier
1114473972
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP
Practice address
2211 W Magnolia Blvd
Suite 270
Burbank, CA 91506-1753
Phone
(818) 325-2088
Fax
(818) 563-6201
NPI assigned
Aug 31, 2016
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Karrie Simonian
Title
Director of Operations
Phone
(818) 588-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

2211 W Magnolia Blvd
Suite 270
Burbank, CA 91506-1753

Mailing address

2211 W Magnolia Blvd Ste 270
Burbank, CA 91506-1756
Phone (818) 325-2088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170117002600 CA Part B Supplier - Ambulatory Surgical Center 9739461211 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Burbank Spine and Pain Surgery CenterCCN 05C0002155
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2120048Burbank Spine and Pain Surgery Center2211 W Magnolia St Ste 270, Burbank, CA 91506Certificate of waiverOct 9, 2026

National Provider Directory

National Provider Directory

Locations

2211 W Magnolia Blvd
Burbank, CA 91506
Phone (213) 977-1176

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1114473972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD STE 270",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061756",
            "telephone_number": "818-325-2088",
            "fax_number": "818-563-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W MAGNOLIA BLVD",
            "address_2": "SUITE 270",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061753",
            "telephone_number": "818-325-2088",
            "fax_number": "818-563-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "SIMONIAN",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "818-588-4150"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.