Active NPI
Spine Joint Care Inc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Livermore, CA
National Provider Identifier
1518620988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- SPINE JOINT CARE INC
- Practice address
- 1058 Murrieta Blvd
Livermore, CA 94550-4111 - Phone
- (925) 272-9022
- NPI assigned
- Oct 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fajie Ma, MD
- Title
- Ceo
- Phone
- (408) 636-6488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
1058 Murrieta Blvd
Livermore, CA 94550-4111
Mailing address
2629 Meadowbrook Dr
Santa Clara, CA 95051-1113
Phone (408) 636-6488
Other practice location 1
123 S Commerce St Ste E
Stockton, CA 95202-2837
Phone (209) 910-9123
Other practice location 2
2629 Meadowbrook Dr
Santa Clara, CA 95051-1113
Phone (408) 636-6488
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Stockton, CA
- NPI 1891079455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634774400000",
"number": "1518620988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 MEADOWBROOK DR",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950511113",
"telephone_number": "408-636-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 MURRIETA BLVD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504111",
"telephone_number": "925-272-9022"
}
],
"practiceLocations": [
{
"address_1": "123 S Commerce St Ste E",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952022837",
"country_code": "US",
"telephone_number": "209-910-9123",
"fax_number": "209-288-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2629 Meadowbrook Dr",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950511113",
"country_code": "US",
"telephone_number": "408-636-6488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPINE JOINT CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2020-10-08",
"status": "A",
"authorized_official_last_name": "MA",
"authorized_official_first_name": "FAJIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "408-636-6488",
"authorized_official_name_prefix": "Dr.",
"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": []
}
Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.