Active NPI
Smart Spine Institute Inc
- Pain Medicine (Anesthesiology) Physician
- Arcadia, CA
National Provider Identifier
1972884013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 220607
- Legal business name
- SMART SPINE INSTITUTE INC
- Practice address
- 131 E. Huntington Drive
Arcadia, CA 91006 - Phone
- (626) 445-0326
- Fax
- (626) 446-5155
- NPI assigned
- Sep 2, 2011
- 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
- Maria I Landeros
- Title
- Assistant/Biller
- Phone
- (626) 445-0326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 220607 | CA | Primary |
Addresses
Primary practice location
131 E. Huntington Drive
Arcadia, CA 91006
Mailing address
131 E. Huntington Drive
Arcadia, CA 91006
Phone (626) 445-0326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120427000639 | CA | Part B Supplier - Clinic/Group Practice | 3072775543 |
Receives reassigned benefits from 1 practitioner Practice locations: Arcadia, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Smart Spine Institute
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Chiropractor
- Arcadia, CA
- NPI 1225493554
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Lawndale, CA
- NPI 1336275007
CA, Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1972884013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E. HUNTINGTON DRIVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "91006",
"telephone_number": "626-445-0326",
"fax_number": "626-445-5155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E. HUNTINGTON DRIVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "91006",
"telephone_number": "626-445-0326",
"fax_number": "626-446-5155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMART SPINE INSTITUTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-02",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "LANDEROS",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "ASSISTANT/BILLER",
"authorized_official_telephone_number": "626-445-0326"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "220607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.