INTERVENTIONAL SPINE CENTER, LLC (NPI# 1639498579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639498579 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPINE CENTER, LLC |
| Practice Address |
2888 Long Beach Blvd Suite 210 Long Beach CA 90806 |
| Mailing Address |
Po Box 5105 Irvine CA 92616-5105 |
| Practice Telephone | 5624267246 |
| Mailing Telephone | 5624267246 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | DR. KEYVAN ZAVAREI (CEO) |
| Authorized Official Telephone | 5624267246 |
| 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 |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1110 W La Palma Ave Ste 2, Anaheim, CA 928012822 | 7146357246 | 5628667143 |
| 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 |
| 1508318411 | Interventional Spine Center, LLC | Clinic/Center | 24012 Calle De La Plata, Suite 130, Laguna Hills, CA 92653 | 2016-10-26 |
| Street Address |
2888 LONG BEACH BLVD SUITE 210 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962404988 | Christie Ann Torti | Physical Therapist | 2888 Long Beach Blvd, #405, Long Beach, CA 90806-1530 | 2005-08-10 |
| 1811388499 | Kathryn Sanders | Occupational Therapy Assistant | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1530 | 2015-02-18 |
| 1669863304 | Tami Martin | Physical Therapy Assistant | 2888 Long Beach Blvd, Suite 405, Long Beach, CA 90806-1530 | 2015-02-17 |
| 1053717504 | Orland Garcia | Occupational Therapist | 2888 Long Beach Blvd, #405, Long Beach, CA 90806-1530 | 2014-11-11 |
| 1043584089 | Silverton Nguyen | Physical Therapist | 2888 Long Beach Blvd, #405, Long Beach, CA 90806-1530 | 2012-03-07 |
| 1578878575 | Marvin Appel, M.d., Inc | Internal Medicine | 2888 Long Beach Blvd, Suite 215, Long Beach, CA 90806-1530 | 2010-08-13 |
| 1144545427 | Medelity Healthcare, Inc. | Internal Medicine | 2888 Long Beach Blvd, 210, Long Beach, CA 90806-1530 | 2010-03-30 |
| 1194951194 | Matthew Eugene Harris | Anesthesiology | 2888 Long Beach Blvd, Suite 210, Long Beach, CA 90806-1530 | 2009-06-04 |
| 1437383064 | Arash Nafissi | Physical Medicine & Rehabilitation | 2888 Long Beach Blvd, 210, Long Beach, CA 90806-1530 | 2009-05-11 |
| 1194962704 | Samuel R Whitaker Md Prof Corp | Otolaryngology | 2888 Long Beach Blvd, Ste 150, Long Beach, CA 90806-1560 | 2009-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393076 | Estea Ambulatory Surgery Center, LLC | Clinic/Center | 3440 Atlantic Ave Ste 3, Long Beach, CA 90807-4568 | 2020-03-30 |
| 1750768537 | Wrigley Medical Surgicenter, LLC | Clinic/Center | 2240 Pacific Ave, Long Beach, CA 90806-4372 | 2015-04-30 |
| 1902211477 | Westview Medical Surgical Center, LLC | Clinic/Center | 2990 E Pacific Coast Hwy Ste B, Long Beach, CA 90804-1632 | 2014-06-24 |
| 1881834596 | Long Beach Out Pt Surgery Center | Clinic/Center | 2370 Long Beach Blvd, Long Beach, CA 90806-3260 | 2009-02-20 |
| 1851508667 | South Bay Surgical and Spine Institute | Clinic/Center | 4300 Long Beach Blvd Ste 150, Long Beach, CA 90807-2016 | 2007-05-17 |
| 1982821708 | Wardlow Surgery Center | Clinic/Center | 200 W Wardlow Rd, Long Beach, CA 90807-4429 | 2007-04-20 |
| 1124187208 | Surgical Suite of Southern California, A Medical Corporation | Clinic/Center | 1040 Elm Ave Ste 100, Long Beach, CA 90813-3265 | 2006-12-06 |
| 1154310753 | Long Beach Pain Center & Medical Clinic | Clinic/Center | 2760 Pacific Ave, Long Beach, CA 90806-2613 | 2005-10-17 |
| 1043217615 | Long Beach Surgery Center, Lp | Clinic/Center | 2880 Atlantic Avenue, Suite 160, Long Beach, CA 90806-1715 | 2005-06-28 |
| 1033686951 | Xcell Surgery Center LLC | Clinic/Center | 200 W Wardlow Rd, Long Beach, CA 90807-4429 | 2018-10-29 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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.