Active NPI
Paquette Spine Institute, Corp.
- Neurological Surgery Physician
- Sacramento, CA
National Provider Identifier
1932633070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- PAQUETTE SPINE INSTITUTE, CORP.
- Practice address
- 3800 J St Ste 210
Sacramento, CA 95816-5551 - Phone
- (916) 341-0310
- Fax
- (916) 341-0340
- NPI assigned
- Apr 15, 2017
- 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. Justin Dominic Paquette, M.D., M.A.
- Title
- Medical Director
- Phone
- (916) 341-0310
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A91868 | CA | |
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
3800 J St Ste 210
Sacramento, CA 95816-5551
Mailing address
3800 J St Ste 210
Sacramento, CA 95816-5551
Phone (916) 341-0310
National Provider Directory
National Provider DirectoryLocations
32107 Lindero Canyon Rd
Ste 235
Westlake Village, CA 91361
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Sacramento, CA
- NPI 1154358661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623801600000",
"number": "1932633070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 J ST STE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165551",
"telephone_number": "916-341-0310",
"fax_number": "916-341-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 J ST STE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165551",
"telephone_number": "916-341-0310",
"fax_number": "916-341-0340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAQUETTE SPINE INSTITUTE, CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-15",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A",
"authorized_official_last_name": "PAQUETTE",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "DOMINIC",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "916-341-0310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., M.A."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A91868",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.