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CALIFORNIA SPORTS AND SPINE INSTITUTE, PC
NPI 1801327606
Physical Medicine & Rehabilitation - Sports Medicine in Glendale, CA

Active since March 23, 2017
317 S BRAND BLVD STE A-104, GLENDALE, CA 91204(818) 338-6860(888) 425-9079 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2021, Jan 27, 2021, Jan 30, 2020 and 3 more (6 updates tracked since 2017).

About California Sports And Spine Institute, Pc NPPES

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

CALIFORNIA SPORTS AND SPINE INSTITUTE, PC (NPI 1801327606) is a healthcare organization registered as a sports medicine in Glendale, California and active in the NPI registry since March 2017. The organization lists Maxim Moradian, President/owner, as its authorized official.

NPPES Registry Identity

NPI1801327606
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameCALIFORNIA SPORTS AND SPINE INSTITUTE, PC
Location Address317 S BRAND BLVD STE A-104Glendale, CA 91204-1701
Mailing AddressPo Box 8323La Crescenta, CA 91224-0323 · (818) 913-9356 · Fax (888) 425-9079
Phone(818) 338-6860
Fax(888) 425-9079
Organization SubpartNo
Authorized OfficialMaxim MoradianPresident/owner · (818) 913-9356
Enumeration DateMarch 23, 2017
Last NPPES UpdateFebruary 20, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1801327606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in CA · A118692
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License A118692 (CA)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License A118692 (CA)
317 S BRAND BLVD STE A-104, Glendale, CA 91204
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

California Sports And Spine Institute, Pc 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 California Sports And Spine Institute, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Maxim Moradian, M.D.
Physical Medicine and Rehabilitation
NPI 1497924864
800 S CENTRAL AVE STE 301
Glendale, CA 91204
(818) 338-6860
✔ PECOS0.4 mi
Revik Vartanian, DO
Physical Medicine and Rehabilitation
NPI 1811352040
51 N 5TH AVE STE 301
Arcadia, CA 91006
(626) 460-1096
✔ PECOS13 mi
Jungwoo Lieu, DO
Physical Medicine and Rehabilitation
NPI 1699330506
4828 CYPRESS ST UNIT 214
Montclair, CA 91763
(443) 629-8427
✔ PECOS32 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 California Sports And Spine Institute, PC's NPI number?

The NPI number for California Sports And Spine Institute, PC is 1801327606. It was assigned to this organization in the NPPES registry on March 23, 2017.

Where is California Sports And Spine Institute, PC located?

California Sports And Spine Institute, PC is located at 317 S Brand Blvd Ste A-104, Glendale, CA 91204. The listed phone number is (818) 338-6860.

What is California Sports And Spine Institute, PC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is California Sports And Spine Institute, PC enrolled in Medicare?

Yes. California Sports And Spine Institute, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through California Sports And Spine Institute, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Medicine and Rehabilitation, reassign their Medicare billing to California Sports And Spine Institute, PC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for California Sports And Spine Institute, PC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.