SPINE & SPORTS MEDICAL GROUP INC
NPI 1023186004
Physical Medicine & Rehabilitation - Pain Medicine in Campbell, CA

NPI Status: Active since November 30, 2006

Contact Information

429 LLEWELLYN AVE
CAMPBELL, CA
ZIP 95008
Phone: (408) 364-1616

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Physical Medicine & Rehabilitation
Pain Medicine
CLIA Number: 05D1083851
CLIA Cert. Type: Ambulance
CLIA Exp. Date: 05-11-2026

About SPINE & SPORTS MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Spine & Sports Medical Group Inc, a provider established in Campbell, California operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1023186004 assigned on November 2006. The practitioner's primary taxonomy code is 2081P2900X with license number G81800 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sherman Tran M.d. (Owner)

NPI: 1023186004
Provider Name: SPINE & SPORTS MEDICAL GROUP INC
Entity Type: Organization
Location Address: 429 LLEWELLYN AVE CAMPBELL, CA 95008
Location Phone: (408) 364-1616
Mailing Address: 429 LLEWELLYN AVE CAMPBELL, CA 95008
Mailing Phone: (408) 364-1616
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-30-2006
Last Update Date: 03-02-2009
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physical Medicine & Rehabilitation Pain Medicine
Taxonomy Code: 2081P2900X
Type: Allopathic & Osteopathic Physicians
License No.: G81800
License State: CA
Taxonomy Description: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. SHERMAN TRAN M.D.
Authorized Official Title: OWNER
Authorized Official Phone: (408) 364-1616

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
G42637	MEDICARE UPIN (02)	CA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D1083851
Facility Type: Ambulance
Certificate Effective Date: May 12, 2024
Certificate Expiration Date: May 11, 2026
Laboratory Director: SHERMAN TRAN MD
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Spine & Sports Medical Group Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	2	3	1	8	6	0	0	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	4	3	2	8	12	0	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 2 + 8 + 1 + 2 + 0 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 4									4

The NPI number 1023186004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 19 providers are registered at the same or nearby location.

FELICIA RADU-RADULESCU M.D.

Specialist

429 LLEWELLYN AVE
CAMPBELL, CA
ZIP 95008

About SPINE & SPORTS MEDICAL GROUP INC

Location Map

Specialty - Primary Taxonomy

Physical Medicine & Rehabilitation Pain Medicine

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

DR. SHERMAN TRAN M.D.

Additional Identifiers

CLIA Information

Reviews for SPINE & SPORTS MEDICAL GROUP INC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is SPINE & SPORTS MEDICAL GROUP INC's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does SPINE & SPORTS MEDICAL GROUP INC accept?