Active NPI
Painless Spine Center of Palm Springs, Inc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Palm Springs, CA
National Provider Identifier
1740237882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- G39449
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryLocations
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
- Pacifica SL Palm Springs LLC
- Lilia Margarita Pacini, M.D.
- Christina Lisa Padilla
- Jessica Breanne Padilla
- Christine Dominique Padillo, PHARMD
- Krishna Chaitanya Pakanati, M.D.
- Christina Garcia Palencia
- Palm Behavioral Health Inc
- Palm Medical Imaging LLC
- Palm Pathology Medical Group, a Professional Corporation
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.