Pacific Spine Clinic Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

A30927 Issued in CA

Legal business name

PACIFIC SPINE CLINIC INC

Practice address

355 E Grand Ave
Suite 1-2
Escondido, CA 92025-3313

Phone

(760) 489-2379

Fax

(760) 489-8106

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Laurence Mercer McKinley, MDNPI 1194719799

Title

Owner

Phone

(760) 489-2379

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurence Mercer McKinley, M.D.

  • Orthopaedic Surgery Physician
  • Escondido, CA
  • NPI 1194719799
  NPD (past) Authorized official
• Daniel Barba, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Escondido, CA
  • NPI 1407128580
  NPD (past)
• Harold Thomas Frank, MS PAC

  • Medical Physician Assistant
  • Brawley, CA
  • NPI 1851405989
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1386855898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E GRAND AVE",
            "address_2": "SUITE 1-2",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253313",
            "telephone_number": "760-489-2379",
            "fax_number": "760-489-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E GRAND AVE",
            "address_2": "SUITE 1-2",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253313",
            "telephone_number": "760-489-2379",
            "fax_number": "760-489-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPINE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "MERCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-489-2379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A30927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles L Owens, CAARR
• Joel Owens, LCSW
• P Eva Fadul MD Inc
• Juan Pacheco
• Pacific Coast Rehabilitation
• Pacifica El Norte LP
• Pacifica North County SL LP
• Jose Pacio
• Charlyne Marie Pack, R.D.
• Gabriella Pacula

• Orthopaedic Surgery of the Spine Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.