Southern California Spine and Sport Medical Associates, Inc
NPI 1902800543ActiveOrganization· Anesthesiology, Pain Medicine· Newport Beach, CA
Anesthesiology, Pain Medicine in Newport Beach, California, registered in NPPES in June 2005. The authorized official on file is Delgash Dosky, Coo. Enrolled in Medicare as dme supplier - physician - general surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1902800543 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2005 |
| Last updated in NPPES | Apr 26, 2023 |
| Certified by provider | Apr 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | G53385 | CA |
| Anesthesiology, Pain Medicine | 207LP2900X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | Q34724 | CA |
| Physician Assistant, Medical | 363AM0700X | PA65976 | CA |
| Physician Assistant, Surgical | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Surgery (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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