San Mateo Spine Center A Medical Corporation
NPI 1043463441ActiveOrganization· Specialist· San Mateo, CA
Specialist in San Mateo, California, registered in NPPES in October 2008. The authorized official on file is Denise Kubick, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043463441 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2008 |
| Last updated in NPPES | Feb 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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All 31 Specialist providers in San Mateo · All Specialist providers in California