SAN DIEGO SPINE & PAIN CENTER, LLC
NPI 1972955128
Clinic/Center - Ambulatory Surgical in Poway, CA

Active since July 11, 2016
13029 POMERADO RD, SUITE C, POWAY, CA 92064(858) 312-5016(858) 312-5018 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Diego Spine & Pain Center, Llc NPPES

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

SAN DIEGO SPINE & PAIN CENTER, LLC (NPI 1972955128) is a healthcare organization registered as an ambulatory surgical in Poway, California and active in the NPI registry since July 2016. The organization lists Lanette V. Bumgardner, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1972955128
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN DIEGO SPINE & PAIN CENTER, LLC
Location Address13029 POMERADO RD, SUITE CPoway, CA 92064-4246
Mailing Address13029 Pomerado Rd, Suite CPoway, CA 92064-4246 · (858) 312-5016 · Fax (858) 312-5018
Fax(858) 312-5018
Organization SubpartNo
Authorized OfficialLanette V. BumgardnerOwner/ceo · (310) 594-5640
Enumeration DateJuly 11, 2016
NPI 1972955128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
13029 POMERADO RD, Poway, CA 92064

Other Providers at the Same Location NPPES 3

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

Chiropractor
13029 POMERADO RD, SUITE A
POWAY, CA 92064
Chiropractor
13029 POMERADO RD, SUITE A
POWAY, CA 92064
Chiropractor
13029 POMERADO RD, STE A
POWAY, CA 92064

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 San Diego Spine & Pain Center, LLC's NPI number?

The NPI number for San Diego Spine & Pain Center, LLC is 1972955128. It was assigned to this organization in the NPPES registry on July 11, 2016.

Where is San Diego Spine & Pain Center, LLC located?

San Diego Spine & Pain Center, LLC is located at 13029 Pomerado Rd Suite C, Poway, CA 92064. The listed phone number is (858) 312-5016.

What is San Diego Spine & Pain Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for San Diego Spine & Pain Center, LLC was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.