Active NPI
Springs Rejuvenation LLC
Doing business as Springs Rejuvenation
- Orthopaedic Surgery Physician
- Los Angeles, CA
National Provider Identifier
1114613759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SPRINGS REJUVENATION LLC
- Doing business as
- Springs Rejuvenation
- Practice address
- 420 E 3Rd St Ste 705
Los Angeles, CA 90013-1646 - Phone
- (404) 780-5617
- NPI assigned
- Apr 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Reeder, BSHA, CCMA, CBCS
- Title
- Practice Administrator
- Phone
- (470) 589-7120
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Urology Physician | 208800000X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
420 E 3Rd St Ste 705
Los Angeles, CA 90013-1646
Mailing address
4411 Suwanee Dam Rd Ste 440
Suwanee, GA 30024-8706
Phone (470) 589-7120
Other practice location 1
2820 NE 214th St
Miami, FL 33180-1268
Phone (404) 780-5617
Other practice location 2
4411 Suwanee Dam Rd Ste 440
Suwanee, GA 30024-8706
Phone (470) 589-7120
Other practice location 3
245 5th Ave Fl 3
New York, NY 10016-8728
Phone (646) 650-4314
Other practice location 4
8700 Menchaca Rd Ste 602
Austin, TX 78748-5377
Phone (470) 589-7120
Other practice location 5
1800 Peachtree St NW Ste 660
Atlanta, GA 30309-2522
Phone (470) 735-7447
Other names 1
- Springs Rejuvenation
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://app.kareo.com/dashboard-ui/#/ | Health Information Exchange (HIE) | |
| CONNECT URL | https://app.kareo.com/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | diana@springsrejuvenation.com | Direct | |
| CONNECT URL | https://app.kareo.com/ | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
8700 Menchaca Rd
Ste 602
Austin, TX 78748
Phone (470) 589-7120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705449600000",
"number": "1114613759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 SUWANEE DAM RD STE 440",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300248706",
"telephone_number": "470-589-7120",
"fax_number": "844-350-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 3RD ST STE 705",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131646",
"telephone_number": "404-780-5617"
}
],
"practiceLocations": [
{
"address_1": "2820 NE 214th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331801268",
"country_code": "US",
"telephone_number": "404-780-5617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4411 Suwanee Dam Rd Ste 440",
"address_purpose": "LOCATION",
"city": "Suwanee",
"state": "GA",
"postal_code": "300248706",
"country_code": "US",
"telephone_number": "470-589-7120",
"fax_number": "844-350-6954",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "245 5th Ave Fl 3",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100168728",
"country_code": "US",
"telephone_number": "646-650-4314",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Menchaca Rd Ste 602",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787485377",
"country_code": "US",
"telephone_number": "470-589-7120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Peachtree St NW Ste 660",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303092522",
"country_code": "US",
"telephone_number": "470-735-7447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPRINGS REJUVENATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "REEDER",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "470-589-7120",
"authorized_official_credential": "BSHA, CCMA, CBCS"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://app.kareo.com/dashboard-ui/#/",
"affiliation": "N",
"endpointDescription": "kareo",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4411 Suwanee Dam Rd Ste 440",
"city": "Suwanee",
"state": "GA",
"country_code": "US",
"postal_code": "300248706",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://app.kareo.com/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1408 Crenshaw Blvd",
"city": "Torrance",
"state": "CA",
"country_code": "US",
"postal_code": "905012433",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "diana@springsrejuvenation.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4411 Suwanee Dam Rd Ste 440",
"city": "Suwanee",
"state": "GA",
"country_code": "US",
"postal_code": "300248706",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://app.kareo.com/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1800 Peachtree St NW Ste 660",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303092522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Springs Rejuvenation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Springs Rejuvenation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.