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SPINE & SPORTS SURGICAL CENTER, LLC.
NPI 1932598760
Clinic/Center - Ambulatory Surgical in Orange, CA

Active since January 16, 2015CLIA 05D2094177 · Waiver
1120 W LA VETA AVE, 300, ORANGE, CA 92868(714) 598-1745(714) 941-9539 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2021, Apr 23, 2019, Oct 30, 2018 and 1 more (4 updates tracked since 2018).

About Spine & Sports Surgical Center, Llc. NPPES

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

SPINE & SPORTS SURGICAL CENTER, LLC. (NPI 1932598760) is a healthcare organization registered as an ambulatory surgical in Orange, California and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Gregory D Carlson, President, as its authorized official.

NPPES Registry Identity

NPI1932598760
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSPINE & SPORTS SURGICAL CENTER, LLC.
Location Address1120 W LA VETA AVE, 300Orange, CA 92868-4231
Mailing Address1120 W La Veta Ave # 330Orange, CA 92868-4231 · (714) 598-1745 · Fax (714) 941-9539
Phone(714) 598-1745
Fax(714) 941-9539
Organization SubpartNo
Authorized OfficialGregory D CarlsonPresident · (714) 598-1745
Enumeration DateJanuary 16, 2015
Last NPPES UpdateApril 20, 20214 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
✔ NPI 1932598760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1120 W LA VETA AVE, Orange, CA 92868
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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 05D2094177

Spine & Sports Surgical Center, LLC · Orange, CA
Active · expires Apr 12, 2027
CLIA Number05D2094177
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorGregory D. Carlson, MD
Laboratory Phone(714) 634-4567
Laboratory LocationSpine & Sports Surgical Center, LLC1120 W La Veta Ave Ste 330, Orange, CA 92868
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 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.
177 services54 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.
145 services113 patients
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.
138 services83 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.
134 services73 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
112 services38 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.
98 services47 patients

Other Providers at the Same Location NPPES 20

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

CHILDREN'S HOSPITAL OF ORANGE COUNTY
Psychologist (Clinical Child & Adolescent)
1120 W LA VETA AVE, SUITE 470
ORANGE, CA 92868
Orange County (714) 509-8481
ERIC T HEYER MD PC
Specialist
1120 W LA VETA AVE, SUITE 300
ORANGE, CA 92868
Orange County (714) 598-1745
DR. SUSAN VIGIL PHARM.D.
Pharmacist
1120 W LA VETA AVE, 2ND FLOOR MAIL ROOM
ORANGE, CA 92868
Orange County (714) 347-3296
DR. MICHELE AUDREY OCEN PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
1120 W LA VETA AVE, SUITE 470
ORANGE, CA 92868
Orange County (202) 415-6308
MISS MARITZA ESTELA ESTRADA
Case Manager/Care Coordinator
1120 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 509-7441
DR. GERTRUDE SANDRA CARTER M.D.
Pediatrics
1120 W LA VETA AVE, 2ND FLOOR
ORANGE, CA 92868
Orange County (714) 347-3261
MARYAM GHOLIZADEH M.D.
Surgery (Pediatric Surgery)
1120 W LA VETA AVE, STE. 100
ORANGE, CA 92868
Orange County (714) 289-4704
PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY
Surgery (Pediatric Surgery)
1120 W LA VETA AVE, SUITE 100
ORANGE, CA 92868
Orange County (714) 361-4480

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 Surgical Center, LLC.'s NPI number?

The NPI number for Spine & Sports Surgical Center, LLC. is 1932598760. It was assigned to this organization in the NPPES registry on January 16, 2015.

Where is Spine & Sports Surgical Center, LLC. located?

Spine & Sports Surgical Center, LLC. is located at 1120 W La Veta Ave 300, Orange, CA 92868. The listed phone number is (714) 598-1745.

What is Spine & Sports Surgical 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 Surgical Center, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2094177) is associated with this NPI, valid through April 12, 2027. 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 Surgical Center, LLC. was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.