Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brain and Spine Institute of California, Inc

Organization Pain Medicine (Anesthesiology) Physician · NPI 1972890796

Brain and Spine Institute of California, Inc is a Pain Medicine (Anesthesiology) Physician in Newport Beach, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105
Phone: (949) 335-7500
Fax: (949) 335-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence A135941 (CA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence A103609 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A31505 (CA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence A80845 (CA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence A99924 (CA)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence A130152 (CA)

Record details

NPI number1972890796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gowriharan Thaiyananthan — President · (203) 376-6364
NPI enumeratedJune 30, 2011
Last updated in NPPESNovember 2, 2015
Mailing address4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105

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