ADVANCED SPINE AND PAIN LLC
NPI 1134010192
Pain Medicine - Interventional Pain Medicine in Phoenix, AZ

NPI Status: Active since July 09, 2025

Contact Information

7201 N DREAMY DRAW DR STE 200
PHOENIX, AZ
ZIP 85020
Phone: (480) 573-0130

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • CLIA Number: 03D2225610
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-09-2027

About ADVANCED SPINE AND PAIN LLC

This page provides the complete NPI Profile along with additional information for Advanced Spine And Pain Llc, a provider established in Phoenix, Arizona operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1134010192 assigned on July 2025. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated one year ago. Advanced Spine And Pain Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Elisa Abarca (Office Manager)

NPI
1134010192
Provider Name
ADVANCED SPINE AND PAIN LLC
Entity Type
Organization
Location Address
7201 N DREAMY DRAW DR STE 200 PHOENIX, AZ 85020
Location Phone
(480) 573-0130
Mailing Address
2525 W GREENWAY RD STE 125 PHOENIX, AZ 85023
Mailing Phone
(480) 573-0130
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-09-2025
Last Update Date
07-09-2025
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
2207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
3207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
4208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
52081P2900XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation
Pain Medicine

 
62086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
7208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

 
8363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
9363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

ELISA ABARCA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(480) 573-0130

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
03D2225610
Facility Type
Physician Office
Certificate Effective Date
November 10, 2025
Certificate Expiration Date
November 09, 2027
Laboratory Director
LISA D. BATES-DUBROW
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Advanced Spine And Pain Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134010192, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 0 → 0 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 0 + 1 + 0 + 1 + 1 + 8 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1134010192.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134010192, enumerated as an "organization" on July 09, 2025.

The provider is located at 7201 N DREAMY DRAW DR STE 200 PHOENIX, AZ 85020 and the phone number is (480) 573-0130.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.