California Spine Diagnostics Medical GRP Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G84882 Issued in CA

Legal business name

CALIFORNIA SPINE DIAGNOSTICS MEDICAL GRP INC

Doing business as

California Spine Diagnostics

Practice address

2100 Webster St
Suite 518
San Francisco, CA 94115

Phone

(415) 600-7830

Fax

(415) 600-7835

NPI assigned

Aug 8, 2006

Last updated

Jan 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lily O'Neill

Title

Administrator

Phone

(415) 600-7831

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• California Spine Diagnostics Doing business as

Locations

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.

• Conor W O'Neill, M.D.

  • Interventional Pain Medicine Physician
  • San Francisco, CA
  • NPI 1326177171
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1699784405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 518",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-600-7830",
            "fax_number": "415-600-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 518",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-600-7830",
            "fax_number": "415-600-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPINE DIAGNOSTICS MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-600-7831",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G84882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "123360800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "P00111961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Spine Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• California Pacific Specialty Services
• California Pacific Vascular Laboratory Medical Associate
• California Psychotherapy Online, Inc.
• California Public Utilities Commission
• California Sleep and Snoring PC
• Alexis Calimeris, NURSE PRACTITIONER
• Catherine Calimquim
• Ilay Caliskan, MD
• Peter-Reuben Baay Calixto, R.N., B.S.N., C.N.N.
• Nicholas S Calkins

• Interventional Pain Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.