Pacific Spine and Wellness PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

A70967 Issued in CA

Legal business name

PACIFIC SPINE AND WELLNESS PC

Practice address

3300 Irvine Ave Ste 307
Newport Beach, CA 92660-3108

Phone

(949) 724-1800

Fax

(949) 724-1811

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Mary Eberhart, DC

Title

Owner

Phone

(949) 724-1800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1306275854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 IRVINE AVE STE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603108",
            "telephone_number": "949-724-1800",
            "fax_number": "949-724-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 IRVINE AVE STE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603108",
            "telephone_number": "949-724-1800",
            "fax_number": "949-724-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPINE AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "EBERHART",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-724-1800",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26382",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A70967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Medical Supply Inc.
• Pacific Neuropsychiatry and Sleep
• Pacific Obstetrics & Gynecology
• Pacific Pharmacy Group
• Pacific Shores Recovery LLC
• Pacific Women'S Healthcare Associaes
• Pacific Women'S Healthcare Associates
• Pacific Women'S Healthcare Associates, Inc.
• Pacifica Cosmetic Surgery Center, a Medical Corp
• Donald L. Pacini, D.C.

• Vascular & Interventional Radiology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.