Organization Active NPI

Spine Joint Care Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Livermore, CA
National Provider Identifier
1518620988
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
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

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Dr. Fajie Ma, MDNPI 1891079455
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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.