Organization Active NPI

Paquette Spine Institute, Corp.

  • Neurological Surgery Physician
  • Sacramento, CA
National Provider Identifier
1932633070
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Jun 16, 2021

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.NPI 1154358661
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A91868 CA
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.