Pacific Spine & Sports, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC23242 Issued in CA

Legal business name

PACIFIC SPINE & SPORTS, INC.

Practice address

14522 Myford Rd
Irvine, CA 92606-1000

Phone

(949) 955-2655

Fax

(949) 955-2699

NPI assigned

Mar 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thaikhanh A Dinhluu, DCNPI 1538287487

Title

Owner

Phone

(949) 955-2655

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thaikhanh A Dinhluu, DC

  • Chiropractor
  • Tustin, CA
  • NPI 1538287487
  Medicare reassignment NPD Authorized official
• Mahnaz Nassernia, LAC PHD

  • Acupuncturist
  • Irvine, CA
  • NPI 1306964150
  NPD (past)
• Dean Alexander Newcombe, DC

  • Chiropractor
  • Irvine, CA
  • NPI 1831500560
  NPD (past)
• Brian William Wong, PT

  • Orthopedic Physical Therapist
  • Tustin, CA
  • NPI 1255534418
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1104944024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14522 MYFORD RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061000",
            "telephone_number": "949-955-2655",
            "fax_number": "949-955-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14522 MYFORD RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061000",
            "telephone_number": "949-955-2655",
            "fax_number": "949-955-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SPINE & SPORTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "DINHLUU",
        "authorized_official_first_name": "THAIKHANH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-955-2655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23242",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Hospitalist Associates a Medical Corporation
• Pacific Medical Laboratory Inc.
• Pacific Optometric Group
• Pacific Pain & Vein Apc
• Pacific Shores Medical Group, Inc
• Isabela Pacis
• Aimee Pack, BCBA
• Joseph L Packer, DMD
• Kanei Padhya
• Padideh Shafiei DMD, Inc.

• Chiropractor in Irvine, CA
• Providers in Irvine, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.