Spine and Pain Care Medical Associates Inc

Primary specialty

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

License

G69571 Issued in CA

Legal business name

SPINE AND PAIN CARE MEDICAL ASSOCIATES INC

Practice address

250 El Camino Real
Suite 104
Tustin, CA 92780-3655

Phone

(714) 508-9999

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey Olsen, MD

Title

Owner

Phone

(714) 508-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Chris Wendell, D.C.

  • Orthopedic Chiropractor
  • Tustin, CA
  • NPI 1235123266
  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1225330830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803655",
            "telephone_number": "714-508-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND PAIN CARE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-508-9999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "G69571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F76805",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern California Psychological
• Alyson Spain
• Specialized Physical Therapy, Apc
• Speech Language Pathology
• Suzette Marie Spence, MFT
• Ivanka Srbinovska, DDS
• Sumeet Kumar Srivastava, D.D.S.
• David Anthony St. John, RRW
• Nikki Dionne Pil Sta Teresa
• Susan M. Stalzer, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Tustin, CA
• Providers in Tustin, 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 Mar 7, 2023; 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.