Active NPI
The Spine and Joint Surgical Center LLC
- Pain Medicine (Anesthesiology) Physician
- San Antonio, TX
National Provider Identifier
1245189786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2339949 | The Spine and Joint Surgical Center | Certificate of waiver | Mar 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.