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INTERVENTIONAL SPINE CENTER, LLC
NPI 1639498579
Clinic/Center - Ambulatory Surgical in Laguna Hills, CA

Active since May 17, 2010
24012 CALLE DE LA PLATA STE 130, LAGUNA HILLS, CA 92653(949) 588-7246(866) 829-7143 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2025, May 21, 2025, Feb 17, 2025 and 4 more (7 updates tracked since 2018).

About Interventional Spine Center, Llc NPPES

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

INTERVENTIONAL SPINE CENTER, LLC (NPI 1639498579) is a healthcare organization registered as an ambulatory surgical in Laguna Hills, California and active in the NPI registry since May 2010. The organization maintains a secondary practice location in Anaheim and lists Jennifer Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1639498579
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINTERVENTIONAL SPINE CENTER, LLC
Location Address24012 CALLE DE LA PLATA STE 130Laguna Hills, CA 92653-3632
Mailing AddressPo Box 5105Irvine, CA 92616-5105 · (949) 588-7246 · Fax (866) 829-7143
Phone(949) 588-7246
Fax(866) 829-7143
Organization SubpartNo
Authorized OfficialJennifer BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateMay 17, 2010
Last NPPES UpdateNovember 6, 20257 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1639498579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
24012 CALLE DE LA PLATA STE 130, Laguna Hills, CA 92653
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Secondary Practice Location 1

Location 1947 S Anaheim Blvd Ste 215Anaheim, CA 92805-5582 · Phone (949) 588-7246 · Fax (866) 829-7143

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interventional Spine Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Interventional Spine Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Matthew Harris, M.D.
Anesthesiology
NPI 1194951194
24012 CALLE DE LA PLATA STE 150
Laguna Hills, CA 92653
(949) 588-7246
✔ PECOS✔ Accepts MedicareSame address
Amir Pouradib, M.D.
Physical Medicine and Rehabilitation
NPI 1326087727
24012 CALLE DE LA PLATA STE 150
Laguna Hills, CA 92653
(949) 588-7246
✔ PECOS✔ Accepts MedicareSame address
Kais Alsharif, MD
Physical Medicine and Rehabilitation
NPI 1730380007
2888 LONG BEACH BLVD SUITE 210
Long Beach, CA 90806
(949) 588-7246
✔ PECOS✔ Accepts Medicare31 mi

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
376 services189 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
241 services155 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
172 services88 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
119 services68 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
90 services39 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
46 services37 patients

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 Interventional Spine Center, LLC's NPI number?

The NPI number for Interventional Spine Center, LLC is 1639498579. It was assigned to this organization in the NPPES registry on May 17, 2010.

Where is Interventional Spine Center, LLC located?

Interventional Spine Center, LLC is located at 24012 Calle De La Plata Ste 130, Laguna Hills, CA 92653. The listed phone number is (949) 588-7246.

What is Interventional Spine Center, LLC's specialty?

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

Is Interventional Spine Center, LLC enrolled in Medicare?

Yes. Interventional Spine Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interventional Spine Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Interventional Spine Center, LLC, in Anesthesiology and Physical Medicine and Rehabilitation. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Interventional Spine Center, LLC was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.