Organization Active NPI

Integrative Sports and Spine Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Irvine, CA
National Provider Identifier
1245630557
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
INTEGRATIVE SPORTS AND SPINE INC
Practice address
9080 Irvine Center Dr
Irvine, CA 92618-4658
Phone
(949) 540-5641
Fax
(949) 540-5642
NPI assigned
Aug 25, 2014
Last updated
Jul 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Henry LeeNPI 1477875375
Title
President
Phone
(833) 473-7377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

9080 Irvine Center Dr
Irvine, CA 92618-4658

Mailing address

9080 Irvine Center Dr
Irvine, CA 92618-4658
Phone (949) 540-5641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA, NC, ID, UT, NY, TX, NV8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20141218002535 CA Part B Supplier - Clinic/Group Practice 7012230212 Receives reassigned benefits from 82 practitioners
O20181119002506 VA Part B Supplier - Clinic/Group Practice 7012230212 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA
O20191231000049 NC Part B Supplier - Clinic/Group Practice 7012230212 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC
O20200423000243 ID Part B Supplier - Clinic/Group Practice 7012230212 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID
O20210217000642 UT Part B Supplier - Clinic/Group Practice 7012230212 Receives reassigned benefits from 1 practitioner
Practice locations: Midvale, UT
O20210604001818 NY Part B Supplier - Clinic/Group Practice 7012230212 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; New York, NY
O20210727002449 TX Part B Supplier - Clinic/Group Practice 7012230212 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX; Cedar Park, TX; Round Rock, TX; Tyler, TX
O20230126000500 NV Part B Supplier - Clinic/Group Practice 7012230212 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

1950 Calle Barcelona
Carlsbad, CA 92009
Phone (760) 704-6800

7777 Sunrise Blvd
Ste 2500
Citrus Hts, CA 95610
Phone (562) 997-2171

201 Allen Ave
Glendale, CA 91201
Phone (818) 845-8507

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

201 W Wardlow Rd
Long Beach, CA 90807
Phone (562) 595-6529

2750 Atlantic Ave
Long Beach, CA 90806
Phone (562) 424-8018

12627 Studebaker Rd
Norwalk, CA 90650
Phone (562) 868-4767

2919 Fruitvale Ave
Oakland, CA 94602
Phone (510) 261-8564

7246 Rosemead Blvd
Pico Rivera, CA 90660
Phone (562) 949-2591

4700 Elvas Ave
Sacramento, CA 95819
Phone (916) 454-4700

4020 Loma Vista Rd
Ventura, CA 93003
Phone (805) 642-4196

521 Lorel Way
Yuba City, CA 95991
Phone (216) 973-2202

7421 N University Dr
Ste 112
Tamarac, FL 33321
Phone (954) 726-0112

2340 Patrick Henry Pkwy
Ste 150
McDonough, GA 30253
Phone (678) 671-3100

1859 S Topaz Way
Meridian, ID 83642
Phone (208) 450-5645

12042 Bittern Holw
Austin, TX 78758
Phone (512) 228-3350

6771 S 900 E
Ste C
Midvale, UT 84047

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1245630557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 IRVINE CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184658",
            "telephone_number": "949-540-5641",
            "fax_number": "949-540-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 IRVINE CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184658",
            "telephone_number": "949-540-5641",
            "fax_number": "949-540-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE SPORTS AND SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-473-7377"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.