Organization Active NPI

Spine and Pain Clinic of North America, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Fairfax, VA
National Provider Identifier
1275985970
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC
Practice address
4001 Fair Ridge Dr
Suite 202
Fairfax, VA 22033-2917
Phone
(301) 873-9596
Fax
(703) 520-7269
NPI assigned
Jul 6, 2016
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Farah Zia
Title
Owner
Phone
(703) 520-1031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary
Pain Medicine Physician 208VP0000X 0101233975 VA

Addresses

Primary practice location

4001 Fair Ridge Dr
Suite 202
Fairfax, VA 22033-2917

Mailing address

4001 Fair Ridge Dr Ste 202
Fairfax, VA 22033-2917
Phone (703) 520-1031

Other practice location 1

7811 Montrose Rd Ste 220
Potomac, MD 20854-3353
Phone (703) 520-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160920001062 DC Part B Supplier - Clinic/Group Practice 9133416191 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Fairfax, VA; Potomac, MD
O20201104000252 VA Part B Supplier - Clinic/Group Practice 9133416191 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfax, VA
O20230412002140 MD Part B Supplier - Clinic/Group Practice 9133416191 Receives reassigned benefits from 1 practitioner
4 other NPIs on this enrollment
Practice locations: Fairfax, VA; Frederick, MD; Potomac, MD; Prince Frederick, MD; Waldorf, MD

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
21D2257293Spine and Pain Clinics of North America7811 Montrose Rd Ste 220, Potomac, MD 20854Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Spine and Pain Clinic of North America LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1275985970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "703-520-1031",
            "fax_number": "703-520-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FAIR RIDGE DR",
            "address_2": "SUITE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332917",
            "telephone_number": "301-873-9596",
            "fax_number": "703-520-7269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7811 Montrose Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208543353",
            "country_code": "US",
            "telephone_number": "703-520-1031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "ZIA",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-520-1031"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "VA",
            "license": "0101233975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.