Spine and Pain Center Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

SPINE AND PAIN CENTER INC

Practice address

555 Pier Ave Ste 1a
Hermosa Beach, CA 90254-3800

Phone

(424) 488-0500

Fax

(424) 488-0498

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Bao Thai Ngiuyen, MD

Title

President

Phone

(424) 488-0500

Specialties & licenses 2

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bao Thai Nguyen, MD

  • Physical Medicine & Rehabilitation Physician
  • Hermosa Beach, CA
  • NPI 1194913756
  NPD (past)
• Joseph Carl Peck, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Manhattan Beach, CA
  • NPI 1053368472
  NPD (past)
• Matthew Ryan Robinson, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hermosa Beach, CA
  • NPI 1427402288
  NPD (past)
• Katrina Marie Von Kriegenbergh, MD

  • Pain Medicine (Anesthesiology) Physician
  • Torrance, CA
  • NPI 1013270867
  NPD (past)

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1679100622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PIER AVE STE 1A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543800",
            "telephone_number": "424-488-0500",
            "fax_number": "424-488-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND PAIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "NGIUYEN",
        "authorized_official_first_name": "BAO",
        "authorized_official_middle_name": "THAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-488-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyah Elizabeth Smith
• Victoria Smith, LCSW
• Jaclyn Smuckler, LMFT
• Melissa Solis, LAC, DACM
• South Bay Child and Family Therapy, Inc.
• Christine Lee Spryer, P.T
• Nerissa Stacey, AMFT
• Jordan Stachel, RDN
• Tyler W. Stanley, PA-C
• Rachel Stewart, D.C.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.