Organization Active NPI

The Spine and Joint Surgical Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • San Antonio, TX
National Provider Identifier
1245189786
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
THE SPINE AND JOINT SURGICAL CENTER LLC
Practice address
1804 NE Loop 410 Ste 110
San Antonio, TX 78217-5211
Phone
(210) 634-1230
Fax
(210) 634-1230
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Mandi Gomez
Title
Administration
Phone
(210) 634-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1804 NE Loop 410 Ste 110
San Antonio, TX 78217-5211

Mailing address

1804 NE Loop 410 Ste 110
1804 NE Loop 410 Ste 110
San Antonio, TX 78217-5211
Phone (210) 634-1230

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
45D2339949The Spine and Joint Surgical Center1804 NE Loop 410, Ste 110, San Antonio, TX 78217Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory

Locations

1804 NE Loop 410
Ste 110
San Antonio, TX 78217
Phone (210) 634-1230

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1245189786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 NE LOOP 410 STE 110",
            "address_2": "1804 NE LOOP 410 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175211",
            "telephone_number": "210-634-1230",
            "fax_number": "210-634-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 NE LOOP 410 STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175211",
            "telephone_number": "210-634-1230",
            "fax_number": "210-634-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPINE AND JOINT SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "210-634-1230"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.