Organization Active NPI

Painless Spine Center of Palm Springs, Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palm Springs, CA
National Provider Identifier
1740237882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
G39449 Issued in CA
Legal business name
PAINLESS SPINE CENTER OF PALM SPRINGS, INC
Practice address
1100 N Palm Canyon Dr
112
Palm Springs, CA 92262-4414
Phone
(951) 486-3555
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohammed Ibrahim, MD
Title
President/Medical Director
Phone
(951) 486-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081P2900X G39449 CA Primary

Addresses

Primary practice location

1100 N Palm Canyon Dr
112
Palm Springs, CA 92262-4414

Mailing address

23110 Atlantic Cir
Suite F
Moreno Valley, CA 92553-5920
Phone (951) 486-3555

National Provider Directory

National Provider Directory

Locations

1100 N Palm Canyon Dr
Ste 112
Palm Springs, CA 92262
Phone (619) 327-1361

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740237882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 ATLANTIC CIR",
            "address_2": "SUITE F",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535920",
            "telephone_number": "951-486-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR",
            "address_2": "112",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624414",
            "telephone_number": "951-486-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINLESS SPINE CENTER OF PALM SPRINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-486-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "G39449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • 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.