PACIFIC SPINE & SPORTS, INC.
NPI 1104944024
Chiropractor in Irvine, CA

Active since March 27, 2007
14522 MYFORD RD, IRVINE, CA 92606(949) 955-2655(949) 955-2699 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pacific Spine & Sports, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC SPINE & SPORTS, INC. (NPI 1104944024) is a healthcare organization registered as a chiropractor in Irvine, California and active in the NPI registry since March 2007. The organization lists Thaikhanh A Dinhluu, Owner, as its authorized official.

NPPES Registry Identity

NPI1104944024
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePACIFIC SPINE & SPORTS, INC.
Location Address14522 MYFORD RDIrvine, CA 92606-1000
Mailing Address14522 Myford RdIrvine, CA 92606-1000 · (949) 955-2655 · Fax (949) 955-2699
Fax(949) 955-2699
Organization SubpartNo
Authorized OfficialThaikhanh A DinhluuOwner · (949) 955-2655
Enumeration DateMarch 27, 2007
Last NPPES UpdateFebruary 26, 2018
✔ NPI 1104944024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC23242
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedAcupuncturistTaxonomy 171100000X · License AC12049 (CA)
14522 MYFORD RD, Irvine, CA 92606

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Spine & Sports, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120329000637Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Spine & Sports, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1538287487
2492 WALNUT AVE STE 150
Tustin, CA 92780
(949) 955-2655
✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Spine & Sports, Inc.'s NPI number?

The NPI number for Pacific Spine & Sports, Inc. is 1104944024. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Pacific Spine & Sports, Inc. located?

Pacific Spine & Sports, Inc. is located at 14522 Myford Rd, Irvine, CA 92606. The listed phone number is (949) 955-2655.

What is Pacific Spine & Sports, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Pacific Spine & Sports, Inc. enrolled in Medicare?

Yes. Pacific Spine & Sports, Inc. is registered in the Medicare PECOS enrollment system.

When is Pacific Spine & Sports, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pacific Spine & Sports, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Pacific Spine & Sports, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific Spine & Sports, Inc. was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.