I Spine California: Integrated Spine & Joint Pain Center is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Watsonville, California. Their current practice location is
850 Freedom Blvd, Watsonville, California. You can reach out to their office (for appointments etc.) via phone at
(831) 319-4595.
I Spine California: Integrated Spine & Joint Pain Center is licensed to practice in California (license number A91983) and it also participates in the medicare program. I Spine California: Integrated Spine & Joint Pain Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215315080.
Healthcare Provider's Profile
| Full Name | I Spine California: Integrated Spine & Joint Pain Center |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 850 Freedom Blvd, Watsonville, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215315080
- Provider Enumeration Date: 05/13/2015
- Last Update Date: 04/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830404425
- Enrollment ID: O20150811005065
Medical Identifiers
Medical identifiers for I Spine California: Integrated Spine & Joint Pain Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215315080 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC28957 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A91983 (California) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | A91983 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
I Spine California: Integrated Spine & Joint Pain Center acts as a billing entity for following providers:
| Provider Name | Alpana R Gowda |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1366575003
PECOS PAC ID: 5395841597
Enrollment ID: I20070504000211 |
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| Provider Name | Katherine A Kenny |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1356494397
PECOS PAC ID: 7810058286
Enrollment ID: I20081203000583 |
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| Provider Name | Ariel M Hurtado |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1255659181
PECOS PAC ID: 5092846600
Enrollment ID: I20100625000665 |
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| Provider Name | Abhishek Gowda |
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| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
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| Provider Identifiers | NPI Number: 1710114772
PECOS PAC ID: 4385865328
Enrollment ID: I20141016001386 |
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| Provider Name | Michael Fujinaka |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1598051278
PECOS PAC ID: 4789978073
Enrollment ID: I20160809002852 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. I Spine California: Integrated Spine & Joint Pain Center is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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I Spine California: Integrated Spine & Joint Pain Center
850 Freedom Blvd,
Watsonville, CA 95076-3814
Ph: (831) 319-4595 | I Spine California: Integrated Spine & Joint Pain Center
850 Freedom Blvd,
Watsonville, CA 95076-3814
Ph: (831) 319-4595 |
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