Organization Active NPI

Advanced Spine and Pain Management Inc.

  • Multi-Specialty Clinic/Center
  • Merced, CA
National Provider Identifier
1851585301
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Dr. Jaimal S Sangha, DC, NPNPI 1285747709
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071017000578 CA Part B Supplier - Clinic/Group Practice 8820075054 Receives reassigned benefits from 2 practitioners
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.