Southern California Spine & Joint Institute, PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE, PC

Practice address

38860 Sky Canyon Dr
Building a
Murrieta, CA 92563-2540

Phone

(951) 375-7972

Fax

(877) 657-8718

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Jonathan G Kelling, MDNPI 1649483884

Title

Owner

Phone

(951) 375-7972

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Jonathan Geoffrey Kelling, M.D.

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1649483884
  Medicare reassignment Care Compare group Authorized official
• Alicia Eller

  • Medical Physician Assistant
  • Murrieta, CA
  • NPI 1003207812
  Medicare reassignment Care Compare group NPD
• Karmin P Nissan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Murrieta, CA
  • NPI 1497044465
  Medicare reassignment
• Peter G. O'Brien, FNP

  • Family Nurse Practitioner
  • Murrieta, CA
  • NPI 1639533490
  Medicare reassignment
• Jennifer Brooke Wilkes, D.O

  • General Practice Physician
  • Murrieta, CA
  • NPI 1164481313
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1477003085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38860 SKY CANYON DR",
            "address_2": "BUILDING A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632540",
            "telephone_number": "951-375-7972",
            "fax_number": "877-657-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38860 SKY CANYON DR",
            "address_2": "BUILDING A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632540",
            "telephone_number": "951-375-7972",
            "fax_number": "877-657-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "KELLING",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-375-7972",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Soto
• Talia Soto
• Bonnie Soules
• Sound Physicians Anesthesiology of California PC
• South Coast Surgical
• Kristie Renee Southern
• Southland Gi Medical Corporation a Professional Corporation
• Southwest Hematology Oncology Medical Group (Southwest Cancer Care Medical Group)
• Southwest Trauma
• Kasey Souvannaleuth

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.