Organization
SPINECARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B REYNOLDS MD (MEDICAL DOCTOR)
(650) 985-7500
Entity
Organization
Contact information
Practice address
455 HICKEY BLVD, SUITE 310, DALY CITY, CA 94015
(650) 985-7500
(650) 731-4434
Mailing address
455 HICKEY BLVD, SUITE 310, DALY CITY, CA 94015
(650) 985-7500
(650) 731-4434
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD7208
MEDICARE RAILROAD GRP#
CA
05
—
GR0041210
—
CA
01
—
ZZZ19182Z
BLUE SHIELD GRP#
CA
Enumeration date
02/02/2006
Last updated
02/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us