Spine Restoration a Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G71795 Issued in CA

Legal business name

SPINE RESTORATION A MEDICAL CORPORATION

Practice address

16030 Ventura Blvd Ste 400
Encino, CA 91436-2778

Phone

(818) 981-2288

Fax

(818) 981-2389

NPI assigned

Jul 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J Hopkins, PHD, MD

Title

Ceo

Phone

(818) 981-2288

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962926147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362778",
            "telephone_number": "818-981-2288",
            "fax_number": "818-981-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362778",
            "telephone_number": "818-981-2288",
            "fax_number": "818-981-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE RESTORATION A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-981-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G71795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Spiegel, AMFT
• Lise Spiegel, PHD
• Philip Spiegel, M.D.
• Spinal Procedures Medical Group
• Spine Inc a Medical Corporation
• Spirometric Inc
• Sports Rehab la
• Sprint Home Health Care, Inc.
• Jeffrey Ward Spychalski, M.D.
• Srla Inc

• Medical Specialty Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.