Advance Spine Care and Pain Management

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ADVANCE SPINE CARE AND PAIN MANAGEMENT

Practice address

2555 E Colorado Blvd Ste 306
Pasadena, CA 91107-6648

Phone

(626) 538-8950

Fax

(626) 566-7620

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Kevin K Li, MDNPI 1083863690

Title

President

Phone

(626) 538-8950

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Kevin K Li, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Pasadena, CA
  • NPI 1083863690
  Medicare reassignment NPD Authorized official
• Kevin Li, MD

  • Family Medicine Physician
  • Yuba City, CA
  • NPI 1346999638
  NPD (past)

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633219200000",
    "number": "1801118690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 E COLORADO BLVD STE 306",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076648",
            "telephone_number": "626-538-8950",
            "fax_number": "626-566-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E COLORADO BLVD STE 306",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911076648",
            "telephone_number": "626-538-8950",
            "fax_number": "626-566-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SPINE CARE AND PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2021-10-03",
        "certification_date": "2021-10-03",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-538-8950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083863690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alipasha Adrangui, M.D.
• Douglas Adu-Fokuo
• Adult Day Health Centers of America
• Baffour Kwaku Adusei-Poku
• Advance Spine Care and Pain Management
• Advanced Business Conglomerate, Inc. (Benevolent Home Care)
• Advanced Sleep Medicine Services, Inc.
• Advanced Surgical Center
• Advanced Trauma Associates LLC
• Xen Gabrielle Advincula

• Interventional Pain Medicine Physician in Pasadena, CA
• Providers in Pasadena, 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 Oct 3, 2021; 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.