Pacificaspine,PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PACIFICASPINE,PC

Practice address

1752 S Victoria Ave Ste 220
Suite # 220
Ventura, CA 93003-6151

Phone

(805) 585-0231

Fax

(805) 482-7940

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Mark John Simonson, MDNPI 1194827998

Title

Medical Director

Phone

(805) 585-0231

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Mark John Simonson, MD

  • Physical Medicine & Rehabilitation Physician
  • Soldotna, AK
  • NPI 1194827998

  Pain Medicine

  NPD (past) Authorized official
• Nancy L Busching, R.P.T.

  • Physical Therapist
  • Rapid City, SD
  • NPI 1982663555
  NPD (past)
• Philip L Busching, M.P.T.

  • Physical Therapist
  • Rapid City, SD
  • NPI 1114986783
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1962504761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 S VICTORIA AVE STE 220",
            "address_2": "SUITE # 220",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036151",
            "telephone_number": "805-585-0231",
            "fax_number": "805-482-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 S VICTORIA AVE STE 220",
            "address_2": "SUITE # 220",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036151",
            "telephone_number": "805-585-0231",
            "fax_number": "805-482-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICASPINE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-585-0231",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Center for Family Counseling & Personal Development, Inc
• Pacific Crest Hospice of Ventura County, LLC
• Pacific Inpatient Physicians
• Pacific Pain Management, Inc.
• Pacific Therapy Services, Inc
• Yvette Padilla, M.D.
• Christine Padua, OTR/L
• Michael Joseph Paglia, DO
• Jade Palacio
• Kyle Arthur Palermo, DO

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.