Active NPI
American Spine PC
- Interventional Pain Medicine Physician
- Lake Elsinore, CA
National Provider Identifier
1982063038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- AMERICAN SPINE PC
- Practice address
- 31571 Canyon Estates Dr
Suite #115
Lake Elsinore, CA 92532-0468 - Phone
- (951) 734-7246
- Fax
- (877) 694-3331
- NPI assigned
- Feb 17, 2016
- 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
- Mr. Khuram Akbar Sial, M.D.
- Title
- President
- Phone
- (951) 734-7246
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
31571 Canyon Estates Dr
Suite #115
Lake Elsinore, CA 92532-0468
Mailing address
PO Box 3098
Torrance, CA 90510-3098
Phone (310) 792-3914
Other names 1
- AMERICAN SPINE
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2143794 | American Spine PC | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
31571 Canyon Estates Dr
Ste 115
Lake Elsinore, CA 92532
10601 Church St
Ste 105
Rch Cucamonga, CA 91730
Phone (909) 989-7100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Lake Elsinore, CA
- NPI 1588003529
-
- Medical Physician Assistant
- Lake Elsinore, CA
- NPI 1316312440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455667200000",
"number": "1982063038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3098",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103098",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31571 CANYON ESTATES DR",
"address_2": "SUITE #115",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925320468",
"telephone_number": "951-734-7246",
"fax_number": "877-694-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN SPINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A",
"authorized_official_last_name": "SIAL",
"authorized_official_first_name": "KHURAM",
"authorized_official_middle_name": "AKBAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-734-7246",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AMERICAN SPINE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.