Precision Spine & Orthopedics Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

20A13071 Issued in CA

Legal business name

PRECISION SPINE & ORTHOPEDICS INC.

Practice address

222 W Eulalia St Ste 309
Glendale, CA 91204-2851

Phone

(818) 579-2929

Fax

(818) 579-2929

NPI assigned

Jul 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nick Ghazarian, DONPI 1558621870

Title

President/Ceo

Phone

(818) 579-2929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18814/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nick Ghazarian, D.O

  • Orthopaedic Surgery Physician
  • Glendale, CA
  • NPI 1558621870

  Single Specialty

  Medicare reassignment NPD Authorized official
• Nicole Claudette Record, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • San Diego, CA
  • NPI 1659713725
  Medicare reassignment NPD

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530921600000",
    "number": "1851887335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S BRAND BLVD STE 440",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042641",
            "telephone_number": "818-579-2929",
            "fax_number": "818-579-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST STE 309",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042851",
            "telephone_number": "818-579-2929",
            "fax_number": "818-579-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Van Nuys Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914031715",
            "country_code": "US",
            "telephone_number": "818-579-2929",
            "fax_number": "818-579-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION SPINE & ORTHOPEDICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-07-07",
        "status": "A",
        "authorized_official_last_name": "GHAZARIAN",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-579-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A13071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; 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.