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SPINE SPORTS SURGERY CENTER, LLC
NPI 1194488361
Clinic/Center - Ambulatory Surgical in Campbell, CA

Active since October 14, 2021CLIA 05D1083851 · Waiver
429 LLEWELLYN AVE, CAMPBELL, CA 95008(408) 378-6773(408) 520-4295 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Oct 14, 2021 (2 updates tracked since 2021).

About Spine Sports Surgery Center, Llc NPPES

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

SPINE SPORTS SURGERY CENTER, LLC (NPI 1194488361) is a healthcare organization registered as an ambulatory surgical in Campbell, California and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Sherman Nam Tran, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1194488361
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPINE SPORTS SURGERY CENTER, LLC
Location Address429 LLEWELLYN AVECampbell, CA 95008-1948
Mailing Address429 Llewellyn AveCampbell, CA 95008-1948 · (408) 364-1616 · Fax (408) 378-6775
Phone(408) 378-6773
Fax(408) 520-4295
Organization SubpartNo
Authorized OfficialSherman Nam TranManaging Partner · (408) 364-1616
Enumeration DateOctober 14, 2021
Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1194488361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
429 LLEWELLYN AVE, Campbell, CA 95008
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1083851

Spine & Sports Surgery Center · Campbell, CA
Active · expires May 11, 2028
CLIA Number05D1083851
Laboratory TypeAmbulance
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorSherman Tran MD
Laboratory Phone(408) 364-1616
Laboratory LocationSpine & Sports Surgery Center429 Llewellyn Ave, Campbell, CA 95008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN ERSKINE WELSH M.D.
Physical Medicine & Rehabilitation
429 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 364-1616
SPINE & SPORTS MEDICAL GROUP INC
Physical Medicine & Rehabilitation (Pain Medicine)
429 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 364-1616
JAMES PASCUA
Radiologic Technologist
429 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 364-1616
LOS GATOS SPINAL DIAGNOSTIC, INC
Clinic/Center (Ambulatory Surgical)
429 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 364-1616
DR. SHERMAN NAM TRAN MD
Physical Medicine & Rehabilitation (Pain Medicine)
429 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 364-1616
SHERWIN E HUA M.D.
Neurological Surgery
429 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (888) 588-6988
NISHA R JARIWALLA PA-C
Physician Assistant
429 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 373-9656
FELICIA RADU-RADULESCU M.D.
Specialist
429 LLEWELLYN AVE
CAMPBELL, CA 95008
Santa Clara County (408) 364-1616

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 Spine Sports Surgery Center, LLC's NPI number?

The NPI number for Spine Sports Surgery Center, LLC is 1194488361. It was assigned to this organization in the NPPES registry on October 14, 2021.

Where is Spine Sports Surgery Center, LLC located?

Spine Sports Surgery Center, LLC is located at 429 Llewellyn Ave, Campbell, CA 95008. The listed phone number is (408) 378-6773.

What is Spine Sports Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Spine Sports Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1083851) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spine Sports Surgery Center, LLC was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.