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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: July 19, 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
Phone(858) 312-5016
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
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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.

BURDETTE CHIROPRACTIC, INCORPORATED
Chiropractor
13029 POMERADO RD, SUITE A
POWAY, CA 92064
San Diego County (858) 486-1222
DR. ANTHONY JAMES FARSHLER D.C.
Chiropractor
13029 POMERADO RD, STE A
POWAY, CA 92064
San Diego County (858) 486-1222
MARK W. BURDETTE D.C.
Chiropractor
13029 POMERADO RD, SUITE A
POWAY, CA 92064
San Diego County (858) 486-1222

Frequently Asked Questions

What is SAN DIEGO SPINE & PAIN CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1972955128, enumerated as an "organization" on July 11, 2016.

Where is the provider located?

The provider is located at 13029 POMERADO RD SUITE C POWAY, CA 92064 and the phone number is (858) 312-5016.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.