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ALPHA SPINE AND PAIN CLINIC PLLC
NPI 1033815352
Pain Medicine - Interventional Pain Medicine in Puyallup, WA

Active since February 07, 2023
120 14TH AVE SE STE B, PUYALLUP, WA 98372(425) 777-4710(888) 830-1615 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alpha Spine And Pain Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALPHA SPINE AND PAIN CLINIC PLLC (NPI 1033815352) is a healthcare organization registered as an interventional pain medicine in Puyallup, Washington and active in the NPI registry since February 2023. The organization lists Praveen Kumar Mambalam, Md, as its authorized official.

NPPES Registry Identity

NPI1033815352
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameALPHA SPINE AND PAIN CLINIC PLLC
Location Address120 14TH AVE SE STE BPuyallup, WA 98372-3718
Mailing AddressPo Box 827Bellevue, WA 98009-0827 · (425) 777-1538 · Fax (888) 830-1615
Phone(425) 777-4710
Fax(888) 830-1615
Organization SubpartNo
Authorized OfficialPraveen Kumar MambalamMd · (425) 774-1538
Enumeration DateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1033815352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

120 14TH AVE SE STE B, Puyallup, WA 98372
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WASHINGTON CENTER FOR PAIN MANAGEMENT LLC
Clinic/Center
120 14TH AVE SE STE B
PUYALLUP, WA 98372
Pierce County (425) 774-1538
WASHINGTON SPINE AND PAIN PLLC
Pain Medicine (Interventional Pain Medicine)
120 14TH AVE SE STE B
PUYALLUP, WA 98372
Pierce County (425) 774-1538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alpha Spine And Pain Clinic PLLC's NPI number?

The NPI number for Alpha Spine And Pain Clinic PLLC is 1033815352. It was assigned to this organization in the NPPES registry on February 7, 2023.

Where is Alpha Spine And Pain Clinic PLLC located?

Alpha Spine And Pain Clinic PLLC is located at 120 14th Ave SE Ste B, Puyallup, WA 98372. The listed phone number is (425) 777-4710.

What is Alpha Spine And Pain Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Alpha Spine And Pain Clinic PLLC was last updated on February 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.