Cervical Spine Centers, PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

41787 Issued in AZ

Legal business name

CERVICAL SPINE CENTERS, PLLC

Practice address

20280 N 59TH Ave Ste 115-345
Glendale, AZ 85308-6850

Phone

(480) 656-4220

Fax

(480) 656-1554

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

John R Ehteshami, MDNPI 1457518391

Title

Ceo

Phone

(480) 656-4220

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cervical Spine Centers Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

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

• John R Ehteshami, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Glendale, AZ
  • NPI 1457518391
  Medicare reassignment Authorized official
• Jabez Barajas, MSN, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Glendale, AZ
  • NPI 1023652039
  NPD (past)
• Eric W Johnson, PSY.D.

  • Clinical Psychologist
  • Glendale, AZ
  • NPI 1023338423
  NPD (past)
• Ming-Jai Liu, M.D., PHARM.D.

  • Neurology Physician
  • Gilbert, AZ
  • NPI 1932211232
  NPD (past)
• Praful Anugu Reddy, MD

  • Neurology Physician
  • Glendale, AZ
  • NPI 1679590616
  NPD (past)
• Naveed Vehra, MD

  • Neurology Physician
  • Glendale, AZ
  • NPI 1609889948
  NPD (past)

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1780062133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-345",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "480-656-4220",
            "fax_number": "480-656-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 115-345",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086850",
            "telephone_number": "480-656-4220",
            "fax_number": "480-656-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERVICAL SPINE CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "EHTESHAMI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-656-4220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "41787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MD LICENSE",
            "identifier": "41787",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022926",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cervical Spine Centers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cervical Spine Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clarisa Isabel Cepeda
• Yulissa Adriana Cepeda
• Louis M Cerato, D.O.
• Alexyss Cerecerez
• Laura Cervantes
• Vianka M Cesena, MSN APRN FNP
• Greg Ceyhan, DDS
• Yong-Suk Cha, DDS
• Harsangeet K Chahal
• Gordon E Chait, M.D.

• Orthopaedic Surgery of the Spine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Orthopaedic Surgery of the Spine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.