Spine and Sports Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SPINE AND SPORTS IMAGING LLC

Practice address

1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4233

Phone

(949) 280-2561

NPI assigned

Jan 13, 2015

Organization subpart

Yes

Parent organization

SPINE AND SPORTS SPECIALTIES MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Mr. Scott Lilly

Title

Administrator

Phone

(805) 701-8580

Specialties & licenses 1

Addresses

Other names 1

• Spine and Sports Imaging Other name

Part of

Spine and Sports Specialities Medical Group

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1295124352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W. LA VETA AVENUE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W. LA VETA AVENUE",
            "address_2": "SUITE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684233",
            "telephone_number": "949-280-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORTS IMAGING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPINE AND SPORTS SPECIALTIES MEDICAL GROUP",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-701-8580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Sports Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stella Alexandra Spiegel
• Lindsey Spiegelman, MD
• Savanna Marie Spielman
• Katie Spiers
• Spine & Sports Surgical Center, LLC.
• Spine and Sports Specialities Medical Group
• Spine and Sports Urgent Care Center Inc.
• Eugene Michael Spiritus, MD
• Abraham Spitzer-Tilchin
• Courtney Spitzer, MD

• Diagnostic Radiology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.