Organization Active NPI

Encino Spine & Pain Surgery Center

  • Surgery Physician
  • Encino, CA
National Provider Identifier
1285515973
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ENCINO SPINE & PAIN SURGERY CENTER
Practice address
17000 Ventura Blvd Ste 101
Encino, CA 91316-4148
Phone
(855) 906-7246
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Elena Serda
Title
Director
Phone
(661) 472-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

17000 Ventura Blvd Ste 101
Encino, CA 91316-4148

Mailing address

17000 Ventura Blvd Ste 101
Encino, CA 91316-4148
Phone (855) 906-7246

National Provider Directory

National Provider Directory

Locations

17000 Ventura Blvd
Ste 101
Encino, CA 91316
Phone (818) 783-2888

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1285515973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164148",
            "telephone_number": "855-906-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164148",
            "telephone_number": "855-906-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO SPINE & PAIN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "SERDA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "661-472-4177"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.