Organization
SPINECARE MEDICAL GROUP INC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up