INTERVENTIONAL SPINE CENTER, LLC (NPI# 1508318411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508318411 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPINE CENTER, LLC |
| Practice Address |
24012 Calle De La Plata Suite 130 Laguna Hills CA 92653 |
| Mailing Address |
Po Box 5105 Irvine CA 92616-5105 |
| Practice Telephone | 9495887246 |
| Practice Fax Number | 8778547581 |
| Mailing Telephone | 9498367665 |
| Mailing Fax Number | 8778547581 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | KEYVAN ZAVAREI (CEO) |
| Authorized Official Telephone | 9498367665 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
FNP40048 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730487083 | Interventional Spine Center, LLC | Clinic/Center | 1110 W La Palma Ave Ste 2, Anaheim, CA 92801-2822 | 2011-03-10 |
| 1639498579 | Interventional Spine Center, LLC | Clinic/Center | 2888 Long Beach Blvd, Suite 210, Long Beach, CA 90806 | 2010-05-17 |
| Street Address |
24012 CALLE DE LA PLATA SUITE 130 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284108 | George Samuel Konugres | Internal Medicine | 24012 Calle De La Plata, Ste 150, Laguna Hills, CA 92653-3621 | 2005-06-13 |
| 1134586126 | Kiet Loc Apc | Psychiatry & Neurology | 24012 Calle De La Plata, Suite 150, Laguna Hills, CA 92653-3621 | 2016-01-21 |
| 1477946747 | Erika Cruz | Nurse Practitioner | 24012 Calle De La Plata, Suite 120, Laguna Hills, CA 92653-3621 | 2015-03-11 |
| 1144639436 | Parentis Home Care Providers, Inc. | In Home Supportive Care | 24012 Calle De La Plata, Suite 400a, Laguna Hills, CA 92653-3621 | 2014-08-12 |
| 1740699180 | Parentis Home Health Care, Inc. | Home Health | 24012 Calle De La Plata, Suite 405, Laguna Hills, CA 92653-3621 | 2014-08-11 |
| 1851708853 | Parentis Hospice and Health Care, Inc | Hospice Care, Community Based | 24012 Calle De La Plata, Suite 400, Laguna Hills, CA 92653-3621 | 2014-07-22 |
| 1215289327 | Connect Hearing, Inc. | Audiologist | 24012 Calle De La Plata, Suite 215, Laguna Hills, CA 92653-3621 | 2012-10-12 |
| 1790077121 | Jerry S Anderson | Hearing Instrument Specialist | 24012 Calle De La Plata, Ste 215, Laguna Hills, CA 92653-3621 | 2011-05-04 |
| 1508166265 | Mary Elizabeth Pongetti | Physical Therapist | 24012 Calle De La Plata, Suite 300, Laguna Hills, CA 92653-3621 | 2010-10-28 |
| 1568792083 | Newport Health Network, Inc | Audiologist-Hearing Aid Fitter | 24012 Calle De La Plata, Suite 215, Laguna Hills, CA 92653-3621 | 2010-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407969561 | Saddleback Outpatient Surgery Center Ltd | Clinic/Center | 24302 Paseo De Valencia, Laguna Hills, CA 92653-3115 | 2006-08-15 |
| 1578160636 | Saddleback Pain and Surgical Center | Clinic/Center | 23521 Paseo De Valencia Ste 204, Laguna Hills, CA 92653-3101 | 2020-10-02 |
| 1245575919 | Memorial Care Surgical Center At Saddleback LLC | Clinic/Center | 24331 El Toro Rd, Suite 150, Laguna Hills, CA 92637-2752 | 2012-12-06 |
| 1518107937 | Alicia Surgery Center LLC | Clinic/Center | 25211 Paseo De Alicia, Suite 100, Laguna Hills, CA 92653-4614 | 2009-02-25 |
| 1265689046 | Mobisurg, Inc. | Clinic/Center | 23025 Mill Creek Dr, Laguna Hills, CA 92653-1257 | 2008-08-22 |
| 1942469226 | Surgery Center for Pain Intervention Inc | Clinic/Center | 23521 Paseo De Valencia, Suite 204, Laguna Hills, CA 92653-3107 | 2008-06-03 |
| 1356480099 | Memorialcare Surgical Center At Saddleback, L.L.C. | Clinic/Center | 24411 Health Center Dr, Suite 104, Laguna Hills, CA 92653-3651 | 2007-02-06 |
| 1306993464 | Pacific Hills Surgery Center LLC | Clinic/Center | 24022 Calle De La Plata, #180, Laguna Hills, CA 92653-3627 | 2007-01-04 |
| 1679631279 | Pacific Hills Surgery Center, Inc. | Clinic/Center | 24022 Calle De La Plata Ste 180, Laguna Hills, CA 92653-3627 | 2006-12-05 |
| 1417935206 | Digestive Disease Center, Lp | Clinic/Center | 24411 Health Center Dr, Suite 450, Laguna Hills, CA 92653-3633 | 2006-01-03 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on INTERVENTIONAL SPINE CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.