Spinal Diagnostics & Treatment Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPINAL DIAGNOSTICS & TREATMENT CENTER

Practice address

901 Campus Drive
Suite 310
Daly City, CA 94015

Phone

(650) 755-0733

Fax

(650) 755-3018

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Fionnuala McElligott

Title

Administrator

Phone

(650) 755-5096

Specialties & licenses 1

Addresses

Practitioners 1

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

• Richard Derby Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Daly City, CA
  • NPI 1013008481
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417992835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DRIVE",
            "address_2": "SUITE 310",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-755-0733",
            "fax_number": "650-755-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DRIVE",
            "address_2": "SUITE 310",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-755-0733",
            "fax_number": "650-755-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DIAGNOSTICS & TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCELLIGOTT",
        "authorized_official_first_name": "FIONNUALA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-755-5096"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sound Pediatrics
• Andrea Spangrud Minchelli
• Stephanie Speizer, PA-C
• Christian Spencer
• Joseph Allen Spillane
• Spinecare Medical Group Inc
• Ki Morgan Spurr-Gaines, LPCC 5217
• Sirirat Sritulanondha, MD
• St Francis Ophthalmology Group
• St. Alexius Transportation

• Ambulatory Surgical Clinic/Center in Daly City, CA
• Providers in Daly City, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.