INTERVENTIONAL SPINE CENTER, LLC (NPI# 1730487083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730487083 |
Entity Type | Organization |
Organization Name | INTERVENTIONAL SPINE CENTER, LLC |
Practice Address |
1110 W La Palma Ave Ste 2 Anaheim CA 92801-2822 |
Mailing Address |
Po Box 5105 Irvine CA 92616-5105 |
Practice Telephone | 9495887246 |
Mailing Telephone | 9495887246 |
Enumeration Date | 2011-03-10 |
Last Update Date | 2019-02-11 |
Authorized Official Name | DR. KEYVAN ZAVAREI (CEO) |
Authorized Official Telephone | 9495887246 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508318411 | Interventional Spine Center, LLC | Clinic/Center | 24012 Calle De La Plata, Suite 130, Laguna Hills, CA 92653 | 2016-10-26 |
1639498579 | Interventional Spine Center, LLC | Clinic/Center | 2888 Long Beach Blvd, Suite 210, Long Beach, CA 90806 | 2010-05-17 |
Street Address |
1110 W LA PALMA AVE STE 2 |
City | ANAHEIM |
State | CA |
Zip Code | 92801-2822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972917748 | Vivek Babaria | Physical Medicine & Rehabilitation | 1110 W La Palma Ave Ste 2, Anaheim, CA 92801-2822 | 2014-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
Find all providers in zip 92801 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154621266 | Andrew W. Klein, M.d., Inc. | Clinic/Center | 1211 W. La Palma Avenue., #609, Anaheim, CA 92801 | 2010-10-25 |
1871827253 | Beauty Professionals Surgery Center, Inc. | Clinic/Center | 408 S Beach Blvd Ste 212, Anaheim, CA 92804-1888 | 2009-10-01 |
1922238096 | Oc Multi Specialty Surgery Center | Clinic/Center | 145 S Chaparral Ct Ste 101, Anaheim, CA 92808-2265 | 2009-07-22 |
1407086044 | Orange Coast Surgery Center | Clinic/Center | 1000 S Anaheim Blvd Suite 300, Anaheim, CA 92805-5804 | 2009-07-16 |
1003997503 | Four Seasons Surgery Centers of Anaheim Lp | Clinic/Center | 1324 S Euclid St, Anaheim, CA 92802-2002 | 2006-10-18 |
1891772349 | North Anaheim Surgicenter Ltd | Clinic/Center | 1154 N Euclid St, Anaheim, CA 92801-1955 | 2005-12-27 |
1154805240 | Canyon Specialty Surgery Center LLC | Clinic/Center | 145 S Chaparral Ct Ste 101, Anaheim, CA 92808-2265 | 2018-09-24 |
1053852236 | Surgery Center of Anaheim Hills, LLC | Clinic/Center | 500 S Anaheim Hills Rd, Suite 128, Anaheim, CA 92807-4780 | 2017-03-20 |
1518375641 | North Anaheim Surgery Center, LLC | Clinic/Center | 1154 N Euclid St, Anaheim, CA 92801-1955 | 2014-08-01 |
1528473030 | Unicare Surgery Center A Medical Corporation | Clinic/Center | 1741 W Romneya Dr, Suite B, Anaheim, CA 92801-1805 | 2014-06-23 |
Find all providers in ANAHEIM |
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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.