OrganizationActive
Brain and Spine Institute of California, Inc.
NPI 1972890796 · Orthopaedic Surgery of the Spine Physician · Newport Beach, CA
Provider details
- NPI number
- 1972890796
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gowriharan Thaiyananthan, President(203) 376-6364
- License
- A103609 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105
Phone: (949) 335-7500
Fax: (949) 335-7500
Approximate (ZIP-level) locationGet directions
Mailing address
4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105
Registry dates
- Enumerated
- 2011-06-30
- Last updated
- 2015-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.