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

NPI Status: Active since January 16, 2015

Contact Information

1120 W LA VETA AVE
300
ORANGE, CA
ZIP 92868
Phone: (714) 598-1745
Fax: (714) 941-9539

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2094177
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-12-2027

About SPINE & SPORTS SURGICAL CENTER, LLC.

This page provides the complete NPI Profile along with additional information for Spine & Sports Surgical Center, Llc., a provider established in Orange, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1932598760 assigned on January 2015. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Gregory D Carlson Md (President)

NPI
1932598760
Provider Name
SPINE & SPORTS SURGICAL CENTER, LLC.
Entity Type
Organization
Location Address
1120 W LA VETA AVE 300 ORANGE, CA 92868
Location Phone
(714) 598-1745
Location Fax
(714) 941-9539
Mailing Address
1120 W LA VETA AVE # 330 ORANGE, CA 92868
Mailing Phone
(714) 598-1745
Mailing Fax
(714) 941-9539
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2015
Last Update Date
04-20-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY D CARLSON MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(714) 598-1745

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 18 times for 16 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

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.

This service was performed 141 times for 68 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 50 times for 26 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

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.

This service was performed 133 times for 81 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

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.

This service was performed 222 times for 72 patients

Injection of substance into lower spine canal using imaging guidance

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.

This service was performed 183 times for 140 patients

Injection of substance into middle or upper spine canal using imaging guidance

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.

This service was performed 35 times for 32 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

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.

This service was performed 101 times for 37 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

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.

This service was performed 78 times for 38 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2094177
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 13, 2025
Certificate Expiration Date
April 12, 2027
Laboratory Director
GREGORY D. CARLSON, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Spine & Sports Surgical Center, Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1932598760, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
3
Doubled → 6
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 6 + 2 + 1 + 0 + 9 + 1 + 6 + 7 + 1 + 2 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1932598760.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
1120 W LA VETA AVE, CALOPTIMA
ORANGE, CA 92868
Surgery (Pediatric Surgery)
1120 W LA VETA AVE, STE. 100
ORANGE, CA 92868
Surgery (Pediatric Surgery)
1120 W LA VETA AVE, STE. 100
ORANGE, CA 92868
Family Medicine (Sports Medicine)
1120 W LA VETA AVE, STE 830
ORANGE, CA 92868
Pharmacist
1120 W LA VETA AVE
ORANGE, CA 92868
Pediatrics
1120 W LA VETA AVE, 2ND FLOOR
ORANGE, CA 92868
Pharmacist
1120 W LA VETA AVE, 2ND FLOOR MAIL ROOM
ORANGE, CA 92868
Surgery (Pediatric Surgery)
1120 W LA VETA AVE, SUITE 100
ORANGE, CA 92868
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1120 W LA VETA AVE
ORANGE, CA 92868
Psychologist (Clinical Child & Adolescent)
1120 W LA VETA AVE, SUITE 470
ORANGE, CA 92868
Psychologist (Clinical Child & Adolescent)
1120 W LA VETA AVE, SUITE 470
ORANGE, CA 92868
Physical Medicine & Rehabilitation (Pain Medicine)
1120 W LA VETA AVE, SUITE 300
ORANGE, CA 92868
Physician Assistant
1120 W LA VETA AVE, SUITE 300
ORANGE, CA 92868
Surgery (Pediatric Surgery)
1120 W LA VETA AVE, STE. 100
ORANGE, CA 92868
Specialist
1120 W LA VETA AVE, SUITE 300
ORANGE, CA 92868
Psychologist (Clinical Child & Adolescent)
1120 W LA VETA AVE, STE 470
ORANGE, CA 92868
Community Health Worker
1120 W LA VETA AVE
ORANGE, CA 92868
Community Health Worker
1120 W LA VETA AVE
ORANGE, CA 92868
Community Health Worker
1120 W LA VETA AVE
ORANGE, CA 92868
Community Health Worker
1120 W LA VETA AVE
ORANGE, CA 92868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932598760, enumerated as an "organization" on January 16, 2015.

The provider is located at 1120 W LA VETA AVE 300 ORANGE, CA 92868 and the phone number is (714) 598-1745.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.