SPINE & SPORTS SURGICAL CENTER, LLC.
NPI 1932598760
Clinic/Center - Ambulatory Surgical in Orange, CA
NPI Status: Active since January 16, 2015
Contact Information
1120 W LA VETA AVE
300
ORANGE, CA
ZIP 92868
Phone: (714) 598-1745
Fax: (714) 941-9539
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2094177
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 04-12-2027
About SPINE & SPORTS SURGICAL CENTER, LLC.
This page provides the complete NPI Profile along with additional information for Spine & Sports Surgical Center, Llc., a provider established in Orange, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1932598760 assigned on January 2015. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Gregory D Carlson Md (President)
- NPI
- 1932598760
- Provider Name
- SPINE & SPORTS SURGICAL CENTER, LLC.
- Entity Type
- Organization
- Location Address
- 1120 W LA VETA AVE 300 ORANGE, CA 92868
- Location Phone
- (714) 598-1745
- Location Fax
- (714) 941-9539
- Mailing Address
- 1120 W LA VETA AVE # 330 ORANGE, CA 92868
- Mailing Phone
- (714) 598-1745
- Mailing Fax
- (714) 941-9539
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2015
- Last Update Date
- 04-20-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of lower or sacral spine facet joint using imaging guidance, single level
Injection of substance into lower spine canal using imaging guidance
Injection of substance into middle or upper spine canal using imaging guidance
Injection of upper or middle spine facet joint using imaging guidance, single level
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
This service was performed 129 times for 71 patientsThis procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
This service was performed 48 times for 28 patientsThis procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
This service was performed 169 times for 96 patientsThis procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
This service was performed 226 times for 70 patientsThis procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
This service was performed 140 times for 113 patientsThis procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
This service was performed 44 times for 40 patientsThis procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
This service was performed 141 times for 43 patientsThis procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
This service was performed 89 times for 47 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2094177
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- April 13, 2025
- Certificate Expiration Date
- April 12, 2027
- Laboratory Director
- GREGORY D. CARLSON, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spine & Sports Surgical Center, Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SPINE & SPORTS SURGICAL CENTER, LLC.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 3 | 2 | 5 | 9 | 8 | 7 | 6 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 6 | 2 | 10 | 9 | 16 | 7 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 6 + 2 + 1 + 0 + 9 + 1 + 6 + 7 + 1 + 2 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1932598760 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1215930219 | GREGORY SCOTT BUCHERT M.D. Individual | Pediatrics | 1120 W LA VETA AVE FL 2 ORANGE, CA 92868 (714) 246-8688 |
1356348973 | DR. KRISTIN R GERICKE PHARM.D. Individual | Pharmacist | 1120 W LA VETA AVE CALOPTIMA ORANGE, CA 92868 (714) 246-8460 |
1194724583 | MARYAM GHOLIZADEH M.D. Individual | Surgery (Pediatric Surgery) | 1120 W LA VETA AVE STE. 100 ORANGE, CA 92868 (714) 289-4704 |
1699777664 | CHILDREN'S SURGICAL ASSOCIATES, A MEDICAL CORPORATION Organization | Surgery (Pediatric Surgery) | 1120 W LA VETA AVE STE. 100 ORANGE, CA 92868 (714) 571-5000 |
1225184518 | BRUCE R HOYLE M.D. Individual | Family Medicine (Sports Medicine) | 1120 W LA VETA AVE STE 830 ORANGE, CA 92868 (714) 955-5960 |
1528106861 | SHABNAM ERAGI PHARMD Individual | Pharmacist | 1120 W LA VETA AVE ORANGE, CA 92868 (714) 246-8724 |
1154466621 | DR. GERTRUDE SANDRA CARTER M.D. Individual | Pediatrics | 1120 W LA VETA AVE 2ND FLOOR ORANGE, CA 92868 (714) 347-3261 |
1104940717 | DR. SUSAN VIGIL PHARM.D. Individual | Pharmacist | 1120 W LA VETA AVE 2ND FLOOR MAIL ROOM ORANGE, CA 92868 (714) 347-3296 |
1194908293 | PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY Organization | Surgery (Pediatric Surgery) | 1120 W LA VETA AVE SUITE 100 ORANGE, CA 92868 (714) 361-4480 |
1689904187 | SANG UN BAE PHARM. D. Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 1120 W LA VETA AVE ORANGE, CA 92868 (714) 246-8471 |
1114329984 | DR. MICHELE AUDREY OCEN PH.D., BCBA Individual | Psychologist (Clinical Child & Adolescent) | 1120 W LA VETA AVE SUITE 470 ORANGE, CA 92868 (202) 415-6308 |
1093102766 | CHILDREN'S HOSPITAL OF ORANGE COUNTY Organization | Psychologist (Clinical Child & Adolescent) | 1120 W LA VETA AVE SUITE 470 ORANGE, CA 92868 (714) 509-8481 |
1407062920 | DR. ERIC YAO CHANG M.D. Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 1120 W LA VETA AVE SUITE 300 ORANGE, CA 92868 (657) 210-4096 |
1437533114 | JOSHUA MILLER PA-C Individual | Physician Assistant | 1120 W LA VETA AVE SUITE 300 ORANGE, CA 92868 (657) 210-4096 |
1841299328 | ALI REZA KAVIANIAN M.D. Individual | Surgery (Pediatric Surgery) | 1120 W LA VETA AVE STE. 100 ORANGE, CA 92868 (714) 289-4704 |
1104284116 | ERIC T HEYER MD PC Organization | Specialist | 1120 W LA VETA AVE SUITE 300 ORANGE, CA 92868 (714) 598-1745 |
1386191328 | DR. ARIE ZAKARYAN PH.D. Individual | Psychologist (Clinical Child & Adolescent) | 1120 W LA VETA AVE STE 470 ORANGE, CA 92868 (714) 509-8235 |
1659693349 | STEPHANIE ERIKA BAZURTO Individual | Community Health Worker | 1120 W LA VETA AVE ORANGE, CA 92868 (888) 770-2462 |
1396227997 | DHRUVI CHAUHAN Individual | Community Health Worker | 1120 W LA VETA AVE ORANGE, CA 92868 (714) 997-3000 |
1407338007 | PATRICK PAIZ BS Individual | Community Health Worker | 1120 W LA VETA AVE ORANGE, CA 92868 (888) 770-2462 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932598760, enumerated in the NPI registry as an "organization" on January 16, 2015
The provider is located at 1120 W La Veta Ave 300 Orange, Ca 92868 and the phone number is (714) 598-1745
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The most common procedures or services performed by this practitioner are: Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint, Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, Injection of lower or sacral spine facet joint using imaging guidance, single level, Injection of substance into lower spine canal using imaging guidance, Injection of substance into middle or upper spine canal using imaging guidance, Injection of upper or middle spine facet joint using imaging guidance, single level and Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography.
The provider's CLIA number is 05D2094177 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 16, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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