Organization Active NPI

Southern California Spine and Pain Institute

  • Pain Medicine Physician
  • Westminster, CA
National Provider Identifier
1659635696
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
SOUTHERN CALIFORNIA SPINE AND PAIN INSTITUTE
Practice address
9433 Bolsa Ave
#B
Westminster, CA 92683-5964
Phone
(714) 234-5826
NPI assigned
Jun 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Thuong Vo, MD
Title
Owner
Phone
(714) 234-5826

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

9433 Bolsa Ave
#B
Westminster, CA 92683-5964

Mailing address

9433 Bolsa Ave
#B
Westminster, CA 92683-5964

National Provider Directory

National Provider Directory

Locations

9433 Bolsa Ave
Ste B
Westminster, CA 92683
Phone (714) 531-8770

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1659635696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 BOLSA AVE",
            "address_2": "#B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BOLSA AVE",
            "address_2": "#B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835964",
            "telephone_number": "714-234-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA SPINE AND PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THUONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-234-5826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.