Spectrum Pain Management Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPECTRUM PAIN MANAGEMENT CENTER

Practice address

14365 Pipeline Ave
Chino, CA 91710-5642

Phone

(951) 699-0303

Fax

(951) 699-0603

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Tony Castillo

Title

Ceo

Phone

(951) 699-0303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1841604972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14365 PIPELINE AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105642",
            "telephone_number": "951-699-0303",
            "fax_number": "951-699-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14365 PIPELINE AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105642",
            "telephone_number": "951-699-0303",
            "fax_number": "951-699-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-699-0303"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern California Injury Treatment Center, LLC
• Spectrum MRI Full Body Imaging Center
• Jayci Sharon Spencer
• Rachel Spratta
• Gary Williams Stablein, M.D., M.B.A.
• Stay Strong Physical Therapy Inc
• David Morris Steinberger, PHD

• Ambulatory Surgical Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.