Active NPI
Jesus H. Lao MD Inc
Doing business as Spectrum Pain and Spine Center
- Pain Clinic/Center
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- JESUS H. LAO MD INC
- Doing business as
- Spectrum Pain and Spine Center
- Practice address
- 6699 Alvarado Rd Ste 2304
San Diego, CA 92120-5241 - Phone
- (619) 255-8800
- Fax
- (619) 566-3827
- NPI assigned
- Mar 8, 2019
- Last updated
- Oct 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesus Lao, MD
- Title
- Medical Director
- Phone
- (619) 255-8800
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
6699 Alvarado Rd Ste 2304
San Diego, CA 92120-5241
Mailing address
25431 Rue de Fleur
Escondido, CA 92026-8723
Phone (760) 484-4941
Other names 1
- SPECTRUM PAIN AND SPINE CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2210409 | Jesus H. Lao, MD, Inc. | Certificate of waiver | Jan 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
6699 Alvarado Rd
Ste 2304
San Diego, CA 92120
Phone (619) 255-8800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine Physician
- San Diego, CA
- NPI 1275571010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1679031611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25431 RUE DE FLEUR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920268723",
"telephone_number": "760-484-4941",
"fax_number": "619-255-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6699 ALVARADO RD STE 2304",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205241",
"telephone_number": "619-255-8800",
"fax_number": "619-566-3827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESUS H. LAO MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-08",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "LAO",
"authorized_official_first_name": "JESUS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "619-255-8800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SPECTRUM PAIN AND SPINE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.