Premier Spine Neurosurgery, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PREMIER SPINE NEUROSURGERY, INC

Practice address

3501 Jamboree Rd Ste 1200
Newport Beach, CA 92660-2904

Phone

(949) 988-7800

NPI assigned

Oct 28, 2017

Organization subpart

No

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

Authorized official

Name

Amer Khalil, MD

Title

Owner

Phone

(617) 407-0413

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1811409097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602904",
            "telephone_number": "949-988-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602904",
            "telephone_number": "949-988-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPINE NEUROSURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-28",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-407-0413",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.