POWAY SPINE AND PAIN
NPI 1245646959
Pain Medicine - Pain Medicine in Poway, CA

NPI Status: Active since July 02, 2014

Contact Information

15725 POMERADO RD STE 105
POWAY, CA
ZIP 92064
Phone: (858) 485-1846
Fax: (858) 485-8676

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  • Organization
  • Pain Medicine
  • Pain Medicine

About POWAY SPINE AND PAIN

This page provides the complete NPI Profile along with additional information for Poway Spine And Pain, a provider established in Poway, California operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1245646959 assigned on July 2014. The practitioner's primary taxonomy code is 208VP0000X with license number C55361 (CA). The provider is registered as an organization and their NPI record was last updated 11 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 provider's is doing business as Poway Spine And Pain. The authorized official of this NPI record is Ravi K Lakkaraju Md (President)

NPI
1245646959
Provider Legal Name
RAVI K LAKKARAJU MD INC
Other Organization Name
POWAY SPINE AND PAIN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15725 POMERADO RD STE 105 POWAY, CA 92064
Location Phone
(858) 485-1846
Location Fax
(858) 485-8676
Mailing Address
15725 POMERADO RD STE 105 POWAY, CA 92064
Mailing Phone
(858) 485-1846
Mailing Fax
(858) 485-8676
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2014
Last Update Date
07-02-2014
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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 Pain Medicine

Taxonomy Code
208VP0000X
Type
Allopathic & Osteopathic Physicians
License No.
C55361
License State
CA
Taxonomy Description
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Group Taxonomy 193400000X 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.

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

RAVI K LAKKARAJU MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(858) 485-1846

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
C55361OTHER (01)CACALIFORNIA MEDICAL LICENSE

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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.
1245646959
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228512412910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 2 + 4 + 1 + 2 + 9 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1245646959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275068694 ABIMBOLA AKINRULI
Individual
Nurse Practitioner (Adult Health)15725 POMERADO RD STE 105
POWAY, CA 92064
(858) 485-7246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245646959, enumerated in the NPI registry as an "organization" on July 02, 2014

The provider is located at 15725 Pomerado Rd Ste 105 Poway, Ca 92064 and the phone number is (858) 485-1846

This medical organization specializes in Pain Medicine with taxonomy code 208VP0000X

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.

This NPI record was last updated on July 02, 2014. 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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