CALIFORNIA PAIN AND SPINE CARE – NPI #1568424687
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

CALIFORNIA PAIN AND SPINE CARE is a provider located in LA MESA, CA. NPPES has assigned the NPI number 1568424687 to CALIFORNIA PAIN AND SPINE CARE on April 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CALIFORNIA PAIN AND SPINE CARE” is a dba name, the actual legal business name for this organization is WILLIAM L. WILSON, M.D., INC.. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 5 years ago on Feb 26, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALIFORNIA PAIN AND SPINE CARE below.

NPI Profile for
WILLIAM L. WILSON, M.D., INC.

NPI Number
1568424687
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILLIAM L. WILSON, M.D., INC.
Doing Business As (dba): CALIFORNIA PAIN AND SPINE CARE
Primary location
5565 GROSSMONT CENTER DR
BLDG. 3, STE. 540
LA MESA, CA 91942-3020
Phone: (619) 460-2700 Fax: (619) 460-2702
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROY BROWNLOW
MD/OWNER
Phone: (770) 252-7557
Updated
Certification Date
Feb 26, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CALIFORNIA PAIN AND SPINE CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G448720
MEDICAIDCA00G448721
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)		 CA G44872

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.