Painless Spine Center Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

G39449 Issued in CA

Legal business name

PAINLESS SPINE CENTER INC

Practice address

23110 Atlantic Cir
#F
Moreno Valley, CA 92553-5920

Phone

(951) 486-3555

Fax

(951) 486-3556

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Chris Aya Otiko

Title

Ceo

Phone

(951) 486-3555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659357135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "#F",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-486-3555",
            "fax_number": "951-486-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "#F",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-486-3555",
            "fax_number": "951-486-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINLESS SPINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTIKO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "AYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-486-3555"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "G39449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macaria Padilla
• Maribel Padilla
• Ezequiel Padillas
• Patrick Nicholeus Campo Pagaduan, DO
• Sang Churl Paik, DDS
• Jonathan David Palacios, DO
• Timothy Palacios
• Javier Palmas Jr., ATC
• Troy Palmer, D.O.
• Alan Seow-Meng Pan, D.O.

• Physical Therapist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.