Active NPI
Advanced Spine and Pain Management Inc.
- Multi-Specialty Clinic/Center
- Merced, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- ADVANCED SPINE AND PAIN MANAGEMENT INC.
- Practice address
- 544 W 25TH St
Merced, CA 95340-2828 - Phone
- (209) 383-3090
- Fax
- (209) 383-3091
- NPI assigned
- Aug 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jaimal S Sangha, DC, NP
- Title
- President
- Phone
- (209) 383-3090
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
544 W 25TH St
Merced, CA 95340-2828
Mailing address
544 W 25TH St
Merced, CA 95340-2828
Phone (209) 383-3090
Other names 1
- Advanced Chiropractic & Sports Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071017000578 | CA | Part B Supplier - Clinic/Group Practice | 8820075054 |
Receives reassigned benefits from 2 practitioners Practice locations: Merced, CA |
National Provider Directory
National Provider DirectoryLocations
4105 W Swift Ave
Ste 111
Fresno, CA 93722
360 E Yosemite Ave
Ste 100
Merced, CA 95340
Phone (209) 383-3090
544 W 25th St
Merced, CA 95340
Phone (209) 383-3090
544 W 25th St
#D
Merced, CA 95340
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": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1851585301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 W 25TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953402828",
"telephone_number": "209-383-3090",
"fax_number": "209-383-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 W 25TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953402828",
"telephone_number": "209-383-3090",
"fax_number": "209-383-3091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SPINE AND PAIN MANAGEMENT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "SANGHA",
"authorized_official_first_name": "JAIMAL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-383-3090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, NP"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Chiropractic & Sports Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.