Organization Active NPI

Duo Spine and Pain Medicine Corp

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1821768318
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DUO SPINE AND PAIN MEDICINE CORP
Practice address
1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118
Phone
(661) 498-0000
Fax
(661) 310-3848
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Ned Urbiztondo, DO
Title
Owner
Phone
(818) 294-2657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118

Mailing address

1332 W Herndon Ave Ste 101
Fresno, CA 93711-7118
Phone (661) 498-0000

National Provider Directory

National Provider Directory

Locations

1332 W Herndon Ave
Ste 101
Fresno, CA 93711
Phone (559) 277-6570

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1821768318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 W HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117118",
            "telephone_number": "661-498-0000",
            "fax_number": "661-310-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937117118",
            "telephone_number": "661-498-0000",
            "fax_number": "661-310-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUO SPINE AND PAIN MEDICINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "URBIZTONDO",
        "authorized_official_first_name": "NED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-294-2657",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.