Organization Active NPI

Complete Spine and Joint Center Inc

  • Obstetrics Physician
  • La Mirada, CA
National Provider Identifier
1780163915
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A36925 Issued in CA
Legal business name
COMPLETE SPINE AND JOINT CENTER INC
Practice address
15112 Rosecrans Ave
La Mirada, CA 90638
Phone
(714) 522-2332
Fax
(714) 522-2344
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Gregory Warren Middleton, D.CNPI 1033256144
Title
President
Phone
(714) 522-2332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC23913 CA
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X A36925 CA Primary

Addresses

Primary practice location

15112 Rosecrans Ave
La Mirada, CA 90638

Mailing address

15112 Rosecrans Ave
La Mirada, CA 90638-4742
Phone (714) 522-2332

National Provider Directory

National Provider Directory

Locations

15112 Rosecrans Ave
La Mirada, CA 90638
Phone (714) 522-2332

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1780163915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15112 ROSECRANS AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384742",
            "telephone_number": "714-522-2332",
            "fax_number": "714-522-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15112 ROSECRANS AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "90638",
            "telephone_number": "714-522-2332",
            "fax_number": "714-522-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE SPINE AND JOINT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-522-2332",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC23913",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A36925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.