Skye Spine & Pain Medical Group, Inc

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

Legal business name

SKYE SPINE & PAIN MEDICAL GROUP, INC

Practice address

1314 W Avenue J Ste a
Lancaster, CA 93534-2936

Phone

(661) 726-0136

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Eric Shaver, D.C.

Title

Chiropractor

Phone

(661) 726-0136

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1558725994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W AVENUE J STE A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342936",
            "telephone_number": "661-726-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W AVENUE J STE A",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342936",
            "telephone_number": "661-726-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYE SPINE & PAIN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "661-726-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.