BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP
NPI 1114473972
Clinic/Center - Ambulatory Surgical in Burbank, CA

Active since August 31, 2016CLIA 05D2120048 · Waiver
2211 W MAGNOLIA BLVD, SUITE 270, BURBANK, CA 91506(818) 325-2088(818) 563-6201 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Dec 26, 2016, Aug 31, 2016 (3 updates tracked since 2016).

About Burbank Spine And Pain Surgery Center A Professional Medical Corp NPPES

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

BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP (NPI 1114473972) is a healthcare organization registered as an ambulatory surgical in Burbank, California and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Karrie Simonian, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1114473972
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP
Location Address2211 W MAGNOLIA BLVD, SUITE 270Burbank, CA 91506-1753
Mailing Address2211 W Magnolia Blvd Ste 270Burbank, CA 91506-1756 · (818) 325-2088 · Fax (818) 563-6201
Fax(818) 563-6201
Organization SubpartNo
Authorized OfficialKarrie SimonianDirector Of Operations · (818) 588-4150
Enumeration DateAugust 31, 2016
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1114473972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2211 W MAGNOLIA BLVD, Burbank, CA 91506

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2120048

Burbank Spine And Pain Surgery Center · Burbank, CA
Active · expires Oct 9, 2026
CLIA Number05D2120048
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorReginald C. Ajakwe, MD
Laboratory Phone(818) 325-2088
Laboratory LocationBurbank Spine And Pain Surgery Center2211 W Magnolia St Ste 270, Burbank, CA 91506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
7,882 services44 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
92 services27 patients
Destruction of nerve branches of knee using imaging guidance 64624
This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.
35 services25 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
27 services13 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
25 services25 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
22 services13 patients

Other Providers at the Same Location NPPES 20

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

Radiologic Technologist (Sonography)
2211 W MAGNOLIA BLVD, SUITE 205B
BURBANK, CA 91506
Ophthalmology
2211 W MAGNOLIA BLVD, STE 240
BURBANK, CA 91506
Marriage & Family Therapist
2211 W MAGNOLIA BLVD, SUITE 145
BURBANK, CA 91506
Pediatrics
2211 W MAGNOLIA BLVD, SUITE 210
BURBANK, CA 91506
Specialist
2211 W MAGNOLIA BLVD, SUITE 210
BURBANK, CA 91506
Internal Medicine
2211 W MAGNOLIA BLVD, STE 230
BURBANK, CA 91506
Family Medicine
2211 W MAGNOLIA BLVD, STE 230
BURBANK, CA 91506
Family Medicine
2211 W MAGNOLIA BLVD, 120
BURBANK, CA 91506

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 Burbank Spine And Pain Surgery Center A Professional Medical Corp's NPI number?

The NPI number for Burbank Spine And Pain Surgery Center A Professional Medical Corp is 1114473972. It was assigned to this organization in the NPPES registry on August 31, 2016.

Where is Burbank Spine And Pain Surgery Center A Professional Medical Corp located?

Burbank Spine And Pain Surgery Center A Professional Medical Corp is located at 2211 W Magnolia Blvd Suite 270, Burbank, CA 91506. The listed phone number is (818) 325-2088.

What is Burbank Spine And Pain Surgery Center A Professional Medical Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Burbank Spine And Pain Surgery Center A Professional Medical Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2120048) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Burbank Spine And Pain Surgery Center A Professional Medical Corp was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.