Nelson Spine Institute, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G38011 Issued in CA

Legal business name

NELSON SPINE INSTITUTE, INC.

Practice address

250 Lombard St Ste 1
Thousand Oaks, CA 91360-8208

Phone

(805) 370-0748

Fax

(978) 244-8700

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Russell W. Nelson, M.D.

Title

President

Phone

(805) 370-0748

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1639241615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4679",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913591679",
            "telephone_number": "805-370-0748",
            "fax_number": "978-244-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LOMBARD ST STE 1",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913608208",
            "telephone_number": "805-370-0748",
            "fax_number": "978-244-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Lombard St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913608208",
            "country_code": "US",
            "telephone_number": "805-370-0748",
            "fax_number": "978-244-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NELSON SPINE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-370-0748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G38011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Prince Nechikat, MD
• Mitra Nedjati, PT
• Amber Leah Neft, DDS
• Cesar Negrete
• Friedel Nelke-Anheier, MSW
• Maureen Monroy Nelson, CPNP-PC
• Melinda Katherine Nelson
• Jacob Ryan Neri
• Omar Nesheiwat, MD
• Neuroedge Psychological Services, Inc.

• Specialist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.