SPINE & SPORTS MEDICAL GROUP INC
NPI 1023186004
Physical Medicine & Rehabilitation - Pain Medicine in Campbell, CA
NPI Status: Active since November 30, 2006
Contact Information
429 LLEWELLYN AVE
CAMPBELL, CA
ZIP 95008
Phone: (408) 364-1616
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- CLIA Number: 05D1083851
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 05-11-2026
About SPINE & SPORTS MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Spine & Sports Medical Group Inc, a provider established in Campbell, California operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1023186004 assigned on November 2006. The practitioner's primary taxonomy code is 2081P2900X with license number G81800 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sherman Tran M.d. (Owner)
- NPI
- 1023186004
- Provider Name
- SPINE & SPORTS MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 429 LLEWELLYN AVE CAMPBELL, CA 95008
- Location Phone
- (408) 364-1616
- Mailing Address
- 429 LLEWELLYN AVE CAMPBELL, CA 95008
- Mailing Phone
- (408) 364-1616
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-30-2006
- Last Update Date
- 03-02-2009
- Code Navigator
Location Map
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
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G81800
- License State
- CA
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G42637 | MEDICARE UPIN (02) | CA |
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
- 05D1083851
- Facility Type
- Ambulance
- Certificate Effective Date
- May 12, 2024
- Certificate Expiration Date
- May 11, 2026
- Laboratory Director
- SHERMAN TRAN MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spine & Sports Medical Group Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 1 | 8 | 6 | 0 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 2 | 8 | 12 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 2 + 8 + 1 + 2 + 0 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1023186004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457345944 | FELICIA RADU-RADULESCU M.D. Individual | Specialist | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1699083303 | TITUS HODGE CRT Individual | Radiologic Technologist | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1992013148 | MICHAEL KOMAR RT Individual | Radiologic Technologist | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1982909677 | REBECCA CARROLL Individual | Radiologic Technologist | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1043576978 | JAMES PASCUA Individual | Radiologic Technologist | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1841551579 | NICHOLAS COLYVAS MD INC Organization | Orthopaedic Surgery (Sports Medicine) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1673 |
| 1053440917 | LOS GATOS SPINAL DIAGNOSTIC, INC Organization | Clinic/Center (Ambulatory Surgical) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1710114772 | ABHISHEK GOWDA M.D. Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1649451923 | ADVANCED PAIN AND REHABILITATION Organization | Physical Medicine & Rehabilitation (Pain Medicine) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1659860302 | JOTHI MURALI MD INC Organization | Orthopaedic Surgery (Sports Medicine) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1673 |
| 1003990847 | JOHN ERSKINE WELSH M.D. Individual | Physical Medicine & Rehabilitation | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1588866602 | JOTHI MURALI M.D. Individual | Orthopaedic Surgery | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1673 |
| 1174546766 | SHERWIN E HUA M.D. Individual | Neurological Surgery | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (888) 588-6988 |
| 1053879395 | BAY AREA PAIN REHAB PROFESSIONAL CORPORATION Organization | Clinic/Center | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1659632339 | MIKIKO MURAKAMI DO Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1205594181 | NISHA R JARIWALLA PA-C Individual | Physician Assistant | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 373-9656 |
| 1679913552 | SPINE SPORTS SURGERY CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 378-6773 |
| 1063407302 | DR. SHERMAN NAM TRAN MD Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 364-1616 |
| 1194488361 | SPINE SPORTS SURGERY CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 429 LLEWELLYN AVE CAMPBELL, CA 95008 (408) 378-6773 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023186004, enumerated in the NPI registry as an "organization" on November 30, 2006
The provider is located at 429 Llewellyn Ave Campbell, Ca 95008 and the phone number is (408) 364-1616
This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081P2900X with a focus in Pain Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D1083851 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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