OrganizationActive
Advanced Spine and Pain Center
NPI 1205159050 · Non-Pharmacy Dispensing Site · Las Vegas, NV
Provider details
- NPI number
- 1205159050
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Advanced Spine and Pain Center
- Organization subpart
- Yes
- Authorized official
- Edmund Pasimio, Medical Director(702) 386-0909
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
801 S Rancho Dr
Ste A-3
Las Vegas, NV 89106-3854
Phone: (702) 386-0909
Street-level locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Other names (DBA / former)
- Other name
- Eddie Pmd Inc
Registry dates
- Enumerated
- 2010-03-09
- Last updated
- 2011-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.